NPI 1699377440
Blaine Care Group LLC
Practice location
- Address
- 11748 Ulysses Lane NE, Blaine, MN 55434
- Phone
- (763) 862-7000
- Fax
- (763) 862-7001
- Mailing address
- 5101 NE 82nd Ave STE 200, Vancouver, WA 98662-6343
Authorised official
- Name
- W. Cody Erwin
- Title
- Managing Member
- Phone
- (360) 772-1645
Registered specialties
Alzheimer Center (Dementia Center)
Primary
Registry record
- NPI
- 1699377440
- Entity type
- Organization
- NPI issued
- 16 Nov 2020
- Record last updated
- 3 Jun 2021
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.