Organization
CREST VIEW CORPORATION
Active
Other names
Crest View Senior Community at Blaine
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY BARNES (CEO)
(763) 782-1611
Entity
Organization
Contact information
Practice address
12016 ULYSSES ST NE, BLAINE, MN 55434
(763) 782-1611
Mailing address
4444 RESERVOIR BLVD, COLUMBIA HEIGHTS, MN 55421-3255
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
IN PROGRESS
MN
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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