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Edgewood Blaine Llc
Assisted Living Facility in Blaine, Minnesota
NPI 1396167953

Edgewood Blaine Llc is an Assisted Living Facility based in Grand Forks, MN. Edgewood Blaine Llc practices in Blaine, MN. The NPI Number for Edgewood Blaine Llc is 1396167953 and holds a License No. 29941 (Minnesota).

The current practice location address for Edgewood Blaine Llc is 12450 Cloud Dr Ne, Blaine, MN and can be reached out via phone at 763-754-1723 and via fax at 763-754-1728.

Location: 12450 Cloud Dr Ne, Blaine, MN, 58201-4754
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396167953
Provider Name
Edgewood Blaine Llc
Credential
Provider Entity Type
Organization
Address
12450 Cloud Dr Ne, Blaine, MN, 58201-4754
Phone Number
763-754-1723
Fax Number
763-754-1728
Provider Enumeration Date
01/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12450 Cloud Dr Ne
City
Blaine
State
Minnesota
Zip
55449-6226
Phone Number
763-754-1723
Fax Number
763-754-1728
person
Provider Business Mailing Address Details
Address
12450 Cloud Dr Ne
City
Blaine
State
Minnesota
Zip
55449-6226
Phone Number
763-754-1723
Fax Number
763-754-1728
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
29941 (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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