| NPI | 1164757464 |
|---|---|
| Other Name | BLAINE WHITE PINE |
| Entity Type | Organization |
| Authorized Contact | RHONDA K SCHILLINGER Business Manager 651-287-0265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2009-10-05 |