BLAINE WP LLC, BLAINE

provider_name-BLAINE WP LLC

physical_address- 12446 JAMESTOWN STREET NE

physical_city-BLAINE

physical_state -MN

physical_zip- 55449

county_name-ANOKA

telephone- 7637541930

adminstrator/authorized_agent- RHONDA SCHILLINGER

license_type-  For-Profit Limited Liability Company

swing_status-

hfid- 30650

license_number- 423084

medicare_number-

mn_classification- ASSISTED LIVING FACILITY DEMENTIA CARE

federal_classification-

hcbs_designation-

hosp-N

alf-70

https://www.health.state.mn.us/facilities/regulation/assistedliving/index.html

https://www.revisor.mn.gov/statutes/cite/144G.91