| NPI | 1457162059 |
|---|---|
| Doing Business As | BLAINE HEALTH - PCA SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | VALENTINE B OBWOGI Owner/CEO 763-318-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |