Payne Phalen Living at Home Block Nurse Program

NPI #1497907265 in Saint Paul, Minnesota

Provider Information

NPI Number: 1497907265
Entity Type: Organization
Organization Name: Payne Phalen Living at Home Block Nurse Program
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 10, 2008
Last Updated: Oct 10, 2008

Practice Location

Address: 1280 ARCADE ST
City: Saint Paul
State: Minnesota
ZIP Code: 55106-2067
Phone: (651) 774-7078

Authorized Official

Name: BARBARA LAVALLEUR
Title: EXECUTIVE DIRECTOR
Phone: (651) 774-7078

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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