Organization
PAYNE PHALEN LIVING AT HOME BLOCK NURSE PROGRAM
Active
Other names
Payne Phalen LAH/BNP
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LAVALLEUR (EXECUTIVE DIRECTOR)
(651) 774-7078
Entity
Organization
Contact information
Practice address
1280 ARCADE ST, SAINT PAUL, MN 55106-2067
(651) 774-7078
Mailing address
1280 ARCADE ST, SAINT PAUL, MN 55106-2067
(651) 774-7078
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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