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Charity Alabo

Assisted Living Facility in Blaine, MN. Individual provider (NPI-1).

NPI number1023736634
StatusActive
Last updated in NPPESAug 19, 2022

Details

NPI
1023736634
Entity type
Individual (NPI-1)
Name
Charity Alabo
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 19, 2022
Certification date
Aug 17, 2022
Last updated
Aug 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility408505MNYes

Practice location

3912 86th Lane Ne
Blaine, MN 55014

Phone 612-558-8999

Mailing address

3912 86th Lane Ne
Blaine, MN 55014

Phone 612-558-8999

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