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Blaine Wp, Llc
Assisted Living Facility in Blaine, Minnesota
NPI 1164757464

Blaine Wp, Llc is an Assisted Living Facility based in Mendota Heights, MN. Blaine Wp, Llc practices in Blaine, MN. The NPI Number for Blaine Wp, Llc is 1164757464 and holds a License No. (Minnesota).

The current practice location address for Blaine Wp, Llc is 12446 Jamestown Street Ne, Blaine, MN and can be reached out via phone at 763-754-1930.

Location: 12446 Jamestown Street Ne, Blaine, MN, 55118-3757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164757464
Provider Name
Blaine Wp, Llc
Credential
Provider Entity Type
Organization
Address
12446 Jamestown Street Ne, Blaine, MN, 55118-3757
Phone Number
763-754-1930
Fax Number
Provider Enumeration Date
10/05/2009
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
12446 Jamestown Street Ne
City
Blaine
State
Minnesota
Zip
55559
Phone Number
763-754-1930
Fax Number
person
Provider Business Mailing Address Details
Address
12446 Jamestown Street Ne
City
Blaine
State
Minnesota
Zip
55559
Phone Number
763-754-1930
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
(Minnesota)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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