Charity Alabo
Individual provider Active NPI Assisted Living Facility · Blaine, MN
NPI 1023736634 · NPPES record last updated Aug 19, 2022
Key facts
- NPI
- 1023736634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 408505 (MN)
- Practice address
- 3912 86TH Lane NE
Blaine, MN 55014 - Phone
- (612) 558-8999
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 408505 | MN | MD | Assisted Living Facility |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 408505 | MN | Yes |
Addresses
Primary practice location
3912 86TH Lane NE
Blaine, MN 55014
Mailing address
3912 86TH Lane NE
Blaine, MN 55014
Phone (612) 558-8999
Other providers in Blaine, MN
- Lena Duula Ahmed
- Sahra Ahmed
- Yasmina Ahmed
- Olumide Ajisola
- Jill Marie Akins
- Katelyn Jan Albrecht
- Bemnet B Alemayehu
- Sifen M Ali
- Aliya Care Inc
- Alk Home Care LLC
All providers in Blaine, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.