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1568186658
BALLANTINE LEGACY, LLC
MAPLE GROVE, MN
NPI
1568186658
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Entity Type
Organization
Authorized Contact
JENNIFER BALLANTINE
Owner/Operator
612-280-0642
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2022-10-03
Last Update Date
2022-10-03
Business Address
BALLANTINE LEGACY, LLC
9338 INLAND LN N
MAPLE GROVE, MN 55311-5425
Phone number: 612-280-0642
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Mailing Address
BALLANTINE LEGACY, LLC
9338 INLAND LN N
MAPLE GROVE, MN 55311-5425
Phone number: 612-280-0642
Copy
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