Organization
BLAINE HEALTH SERVICES LLC
Active
Other names
Blaine Health - PCA Services LLC
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
251E00000X
Home Health Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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