Organization
LIFE JORNEE HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA TANNER LSW (ONWER)
(763) 328-4488
Entity
Organization
Contact information
Practice address
12411 JACKSON ST NE, BLAINE, MN 55434-3176
(763) 328-4488
Mailing address
12411 JACKSON ST NE, BLAINE, MN 55434-3176
(763) 328-4488
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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