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Providence Health Care Services
Assisted Living Facility in Blaine, Minnesota
NPI 1457047037

Providence Health Care Services is an Assisted Living Facility based in Blaine, MN. Providence Health Care Services practices in Blaine, MN. The NPI Number for Providence Health Care Services is 1457047037 and holds a License No. (Minnesota).

The current practice location address for Providence Health Care Services is 781 103Rd Ave Ne, Blaine, MN and can be reached out via phone at 612-456-2773 and via fax at 763-374-4469.

Location: 781 103Rd Ave Ne, Blaine, MN, 55434-4507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457047037
Provider Name
Providence Health Care Services
Credential
Provider Entity Type
Organization
Address
781 103Rd Ave Ne, Blaine, MN, 55434-4507
Phone Number
612-456-2773
Fax Number
763-374-4469
Provider Enumeration Date
04/17/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
781 103Rd Ave Ne
City
Blaine
State
Minnesota
Zip
55434-4507
Phone Number
612-456-2773
Fax Number
763-374-4469
person
Provider Business Mailing Address Details
Address
781 103Rd Ave Ne
City
Blaine
State
Minnesota
Zip
55434-4507
Phone Number
612-456-2773
Fax Number
763-374-4469
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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