BALLANTINE LEGACY, LLC

MAPLE GROVE, MN
NPI1568186658
Entity TypeOrganization
Authorized ContactJENNIFER BALLANTINE
Owner/Operator
612-280-0642
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2022-10-03
Last Update Date2022-10-03
Business Address
BALLANTINE LEGACY, LLC
9338 INLAND LN N
MAPLE GROVE, MN 55311-5425
Phone number: 612-280-0642
Mailing Address
BALLANTINE LEGACY, LLC
9338 INLAND LN N
MAPLE GROVE, MN 55311-5425
Phone number: 612-280-0642