Legacy Community Care INC
NPI #1699478040 in Columbia Heights, Minnesota
Provider Information
- NPI Number
- 1699478040
- Entity Type
- Organization
- Organization Name
- Legacy Community Care INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 24, 2023
- Last Updated
- Mar 24, 2023
Practice Location
- Address
- 1022 42 1/2 AVE NE
- City
- Columbia Heights
- State
- Minnesota
- ZIP Code
- 55421-3159
- Phone
- (763) 444-1893
Authorized Official
- Name
- AHMED YUSUF
- Title
- OWNER/ADMIN
- Phone
- (612) 806-6357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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