Blaine Wp, LLC

NPI #1164757464 in Blaine, Minnesota

Provider Information

NPI Number
1164757464
Entity Type
Organization
Organization Name
Blaine Wp, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 5, 2009
Last Updated
Oct 5, 2009

Practice Location

Address
12446 JAMESTOWN STREET NE
City
Blaine
ZIP Code
55559
Phone
(763) 754-1930

Authorized Official

Name
MISS RHONDA K SCHILLINGER
Title
BUSINESS MANAGER
Phone
(651) 287-0265

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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