KTJ 270 LLC NPI 1619400199

NPI Information

KTJ 270 LLC is an assisted living facility in Saint Paul, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. KTJ 270 LLC NPI is 1619400199. The provider is registered as an organization entity type.
The provider Is Doing Business As White Bear Heights.

The provider's business location address is:

4650 CENTERVILLE RD
SAINT PAUL, MN
ZIP 55127-301
Phone: (651) 653-3288

The provider's authorized official is Jackie Juan .
The authorized official title is Executive Director and has the following contact phone number (651) 653-3288.

The enumeration date for this NPI number is 4/11/2017 and was last updated on 4/11/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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