Organization
BLAINE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTINE B OBWOGI (OWNER/CEO)
(763) 318-5008
Entity
Organization
Contact information
Practice address
13250 NASSAU CT NE, BLAINE, MN 55449-4989
(763) 318-5008
Mailing address
13250 NASSAU CT NE, BLAINE, MN 55449-4989
(763) 318-5008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
Other
Enumeration date
11/07/2024
Last updated
11/18/2024
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