Organization · Type 2 NPI
Phs-White Bear Lake LLC
Assisted Living Facility · White Bear Lake, MN
NPI number
1003563545
Active
Practice location
4650 Centerville Rd
White Bear Lake, MN 55127-3200
Fax (651) 631-6122
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
3 other providers at this address
Other assisted living facility providers in White Bear Lake
About NPI 1003563545
Phs-White Bear Lake LLC's National Provider Identifier is 1003563545, issued on Mar 4, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in White Bear Lake, MN. The record was last updated on Aug 18, 2026.