Organization
JA'LE INNOVATIVE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE ALEXIS LEWIS CNA (OWNER)
(651) 270-5650
Entity
Organization
Contact information
Practice address
8500 NORMANDALE LAKE BLVD STE 350, BLOOMINGTON, MN 55437-3805
(888) 402-9606
Mailing address
8500 NORMANDALE LAKE BLVD STE 350, BLOOMINGTON, MN 55437-3805
(888) 402-9606
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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