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Organization
CREST VIEW CORPORATION
Active
Organization
CREST VIEW CORPORATION
Active
Other names
Crest View Senior Community at Blaine
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY BARNES (CEO)
(763) 782-1611
Entity
Organization
Contact information
Practice address
12016 ULYSSES ST NE, BLAINE, MN 55434
(763) 782-1611
Mailing address
4444 RESERVOIR BLVD, COLUMBIA HEIGHTS, MN 55421-3255
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
IN PROGRESS
MN
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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