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Organization

BLAINE WP, LLC

Active
Other names
Blaine White Pine
Organization subpart
No

Provider details

NPI number
Authorized official
MISS RHONDA K SCHILLINGER (BUSINESS MANAGER)
(651) 287-0265
Entity
Organization

Contact information

Practice address
12446 JAMESTOWN STREET NE, BLAINE, MN 55559
(763) 754-1930
Mailing address
720 MAIN ST, 205, MENDOTA HEIGHTS, MN 55118-3757
(651) 287-0265

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MN

Other

Enumeration date
10/05/2009
Last updated
10/05/2009
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