Organization
BLAINE WP II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PAULEY (BUSINESS MANAGER)
(651) 287-0265
Entity
Organization
Contact information
Practice address
12402 JAMESTOWN STREET NE, BLAINE, MN 55449
(651) 287-0265
(651) 287-0266
Mailing address
750 MAIN ST, SUITE 200, MENDOTA HEIGHTS, MN 55118-3764
(651) 287-0265
(651) 287-0266
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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