Organization · Type 2 NPI

Blaine Wp, LLC

Assisted Living Facility · Blaine, MN

NPI number 1164757464 Active

Practice location

12446 Jamestown Street NE
Blaine, MN 55559

Call (763) 754-1930 Map

Mailing address

720 Main St, 205
Mendota Heights, MN 55118-3757

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.

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About NPI 1164757464

Blaine Wp, LLC's National Provider Identifier is 1164757464, issued on Oct 5, 2009. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Blaine, MN. The record was last updated on Oct 5, 2009.