Edgewood Blaine LLC
NPI #1396167953 in Blaine, Minnesota
Provider Information
- NPI Number
- 1396167953
- Entity Type
- Organization
- Organization Name
- Edgewood Blaine LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 15, 2014
- Last Updated
- Jan 15, 2014
Practice Location
Authorized Official
- Name
- MR. RONALD DALE WHETTER
- Title
- VP OF FINANCE/BUDGET
- Phone
- (701) 757-5465
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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