Organization
MINA SKILLED NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADRA ESSE (OWNER/MANAGER)
(612) 806-8397
Entity
Organization
Contact information
Practice address
1111 112TH AVE NE, BLAINE, MN 55434-0009
(612) 806-8397
Mailing address
1111 112TH AVE NE, BLAINE, MN 55434-0009
(612) 806-8397
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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