Sisters Supportive Living LLC

NPI #1457214454 in Blaine, Minnesota

Provider Information

NPI Number: 1457214454
Entity Type: Organization
Organization Name: Sisters Supportive Living LLC
Primary Specialty: Case Management
Enumeration Date: Dec 5, 2025
Last Updated: Dec 5, 2025

Practice Location

Address: 12173 WACONIA ST NE UNIT A
City: Blaine
State: Minnesota
ZIP Code: 55449-5398
Phone: (612) 358-3511

Authorized Official

Name: ASHLEY MONIQUE MILLER
Title: OWNER CASE MANAGER
Phone: (612) 358-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Case Management	251B00000X	Primary

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