Organization
BLUE NILE SERVICES COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANAN ABDELRAHMAN (ADMINISTRATOR)
(507) 319-7457
Entity
Organization
Contact information
Practice address
140 BEACH LAKE RD SW, ROCHESTER, MN 55902-4172
(507) 319-7457
Mailing address
140 BEACH LAKE RD SW, ROCHESTER, MN 55902-4172
(507) 319-7457
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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