Organization
KENNIE HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA DANN (PROGRAM DIRECTOR)
(240) 277-8289
Entity
Organization
Contact information
Practice address
11285 BALTIMORE ST NE UNIT C, BLAINE, MN 55449-4686
(240) 277-8289
Mailing address
11285 BALTIMORE ST NE UNIT C, BLAINE, MN 55449-4686
(240) 277-8289
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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