Ajbb Duluth Properties

Organization Active NPI Adult Care Home Facility · Brookston, MN

NPI 1255683660 · NPPES record last updated Oct 9, 2012

Key facts

NPI
1255683660
Entity type
Organization (NPI type 2)
Primary specialty
Adult Care Home Facility 311ZA0620X
Legal business name
AJBB DULUTH PROPERTIES
Practice address
5130 Hwy. 31
Brookston, MN 55711
Phone
(218) 453-5554
Fax
(218) 453-1014
NPI assigned
Oct 9, 2012
Organization subpart
No

Authorized official

Name
Christopher Michael Beauchamp
Title
Owner/Manager
Phone
(218) 453-5554

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

5130 Hwy. 31
Brookston, MN 55711

Mailing address

633 Maple St
Cloquet, MN 55720-1449
Phone (218) 453-5554

Other names

  • Anderson's Pine Grove Doing business as

Other providers in Brookston, MN

All providers in Brookston, MN · Adult Care Home Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.