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Organization
KTJ 270 LLC
Active
Organization
KTJ 270 LLC
Active
Other names
White Bear Heights
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACKIE JUAN (EXECUTIVE DIRECTOR)
(651) 653-3288
Entity
Organization
Contact information
Practice address
4650 CENTERVILLE RD, SAINT PAUL, MN 55127-2301
(651) 653-3288
Mailing address
4650 CENTERVILLE RD, SAINT PAUL, MN 55127-2301
(651) 653-3288
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
32991
MN
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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