Edgewood Blaine Llc

LBN: Edgewood Blaine Llc
Edgewood Blaine Llc is an health care organization with primary practice located at 12450 Cloud Dr Ne , Blaine MN 55449-6226. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Edgewood Blaine Llc can be contacted via phone (763) 754-1723, or through Whetter, Ronald Dale via phone (701) 757-5465.

Contact Information

Primary practice address
12450 Cloud Dr Ne Blaine MN 55449-6226
Phone: (763) 754-1723
Fax: (763) 754-1728
Website:
Map and Directions
Authorized official contact:
Name: Whetter, Ronald Dale
Phone: (701) 757-5465

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 29941 Minnesota
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 29791 Minnesota

Profile Details

NPI number 1396167953
LBN Legal business name Edgewood Blaine Llc
DBA Doing business as
Authorized official Whetter, Ronald Dale
Entity Organization
Organization subpart 1 No
Enumeration date Jan 15th, 2014
Last updated Jan 15th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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