Organization · Type 2 NPI
Edgewood Blaine LLC
Assisted Living Facility · Blaine, MN
NPI number
1396167953
Active
Practice location
12450 Cloud Dr NE
Blaine, MN 55449-6226
Fax (763) 754-1728
Mailing address
322 Demers Ave, Suite 500
Grand Forks, ND 58201-4754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | 29941 (MN) |
| Assisted Living Facility Primary | 310400000X | 29791 (MN) |
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.
5 other providers at this address
- Chelsey Marie Joy WeintraubOccupational Therapist Blaine, MN NPI 1194443101
- Christine Takes, DPTPhysical Therapist Blaine, MN NPI 1740643543
- Jessica KoppOccupational Therapist Blaine, MN NPI 1730250028
- Stephanie Lynn Mollinger, DPTPhysical Therapist Blaine, MN NPI 1427346600
- Tracy Spitzack, SLPSpeech-Language Pathologist Blaine, MN NPI 1003372012
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- Blaine Wp, LLCAssisted Living Facility Blaine, MN NPI 1164757464
- Crest View CorporationAssisted Living Facility Blaine, MN NPI 1205386091
- Christine Professional Health Care IncAssisted Living Facility Blaine, MN NPI 1396993036
- Providence Health Care ServicesAssisted Living Facility Blaine, MN NPI 1457047037
- MFF Blaine LLCAssisted Living Facility Blaine, MN NPI 1619529542
- Kennie Health Services LLCAssisted Living Facility Blaine, MN NPI 1730077421
About NPI 1396167953
Edgewood Blaine LLC's National Provider Identifier is 1396167953, issued on Jan 15, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Blaine, MN. The record was last updated on Jan 15, 2014.