Phs-White Bear Lake LLC
Assisted Living Facility in White Bear Lake, MN. Organization (NPI-2).
NPI number1003563545
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1003563545
- Entity type
- Organization (NPI-2)
- Legal business name
- Phs-White Bear Lake LLC
- Organization subpart
- No
- Enumeration date
- Mar 4, 2022
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Other names
- Harbor Crossing (Doing Business As)
Practice location
4650 Centerville RdWhite Bear Lake, MN 55127-3200
Phone 651-631-6100 · Fax 651-631-6122
Mailing address
2845 Hamline Ave NRoseville, MN 55113-7127
Phone 651-631-6432 · Fax 651-631-6122
Authorized official
Jon Tranby
Payer Relations Director
6516316102
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