Organization
SISTERS SUPPORTIVE LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY MONIQUE MILLER (OWNER CASE MANAGER)
(612) 358-3511
Entity
Organization
Contact information
Practice address
12173 WACONIA ST NE UNIT A, BLAINE, MN 55449-5398
(612) 358-3511
Mailing address
12173 WACONIA ST NE UNIT A, BLAINE, MN 55449-5398
(612) 358-3511
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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