NPI 1407684285

Family Care at Home

Organisation Nursing Facility/Intermediate Care Facility Blaine, MN

Practice location

Address: 4334 122nd Cir NE, Blaine, MN 55449-2103
Phone: (615) 668-0500

Authorised official

Name: Clovis Gray
Title: Executive Director
Phone: (615) 668-0500

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X

Other Nursing Facility/Intermediate Care Facility providers in Minnesota →

Registry record

NPI: 1407684285
Entity type: Organization
NPI issued: 23 Jul 2024
Record last updated: 23 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.