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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK VINE LLC

Active Organization

BLACK VINE LLC is a Case Management Agency organization located in EDINA, Minnesota. NPI 1326359159 is currently active in the NPPES registry. Verify at CMS.

Case Management Agency · EDINA, MN

Registration Details

NPI Number
1326359159
Provider Type
Organization
NPI Issued
Jun 25, 2010 (16.157415251695 yrs)
Last Updated
Jun 25, 2010
License
348111 (MN)

Practice Information

Address
4445 W 77TH ST
SUITE 122
EDINA, MN, 554355133
Browse MN providers · Browse ZIP 55435
Phone
9529602266
Fax
9529602267
Primary Specialty
Case Management Agency
251B00000X

Other Case Management Agency Organizations in EDINA, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.