# PAYNE PHALEN LIVING AT HOME BLOCK NURSE PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Payne Phalen LAH/BNP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497907265
- **Authorized official:** BARBARA LAVALLEUR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (651) 774-7078

## Contact information

- **Practice address:** 1280 ARCADE ST, SAINT PAUL, MN 55106-2067
- **Practice address phone:** (651) 774-7078
- **Mailing address:** 1280 ARCADE ST, SAINT PAUL, MN 55106-2067
- **Mailing address phone:** (651) 774-7078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/10/2008