Blaine Care Group LLC

NPI #1699377440 in Blaine, Minnesota

Provider Information

NPI Number
1699377440
Entity Type
Organization
Organization Name
Blaine Care Group LLC
Primary Specialty
Alzheimer Center (Dementia Center)
Enumeration Date
Nov 16, 2020
Last Updated
Jun 3, 2021

Practice Location

Address
11748 ULYSSES LANE NE
City
Blaine
ZIP Code
55434
Phone
(763) 862-7000

Authorized Official

Name
MR. W. CODY ERWIN
Title
MANAGING MEMBER
Phone
(360) 772-1645

Specialties & Taxonomy Codes

Specialty
Alzheimer Center (Dementia Center)

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Provider Name
Range Regional Health Services

Part of Range Regional Health Services

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