Organization
BLANK SLATE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH LEEANN GLENNA PT (VICE PRESIDENT)
(612) 770-5748
Entity
Organization
Contact information
Practice address
1148 PACIFIC ST, SAINT PAUL, MN 55106-6421
(612) 770-5748
Mailing address
PO BOX 242, CENTER CITY, MN 55012-0242
(612) 770-5748
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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