Blaine Wp Ii, LLC

NPI #1871989806 in Blaine, Minnesota

Provider Information

NPI Number
1871989806
Entity Type
Organization
Organization Name
Blaine Wp Ii, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Apr 7, 2015
Last Updated
Apr 7, 2015

Practice Location

Address
12402 JAMESTOWN STREET NE
City
Blaine
ZIP Code
55449
Phone
(651) 287-0265

Authorized Official

Name
SARAH PAULEY
Title
BUSINESS MANAGER
Phone
(651) 287-0265

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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