Foundations Group Of Mn, Inc

NPI 1770624256 - Home Health - 251E00000X

NPI Details
NPI 1770624256
Enumeration Date 02/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIMBERLY ERIN KIMBERLY
Position PROGRAM DIRECTOR
Phone (651) 408-1433
Fax (651) 408-1434
Practice Location
31100 FOREST BLVD
BLDG B
STACY MN, 55079-9247, US
Phone (651) 408-1433
Fax (651) 408-1434
Business Location
PO BOX 247
STACY MN, 55079-0247, US
Phone (651) 408-1433
Fax (651) 408-1434
Toxanomy
Taxonomy Code 251E00000X
License State Minnesota
License Number 1041613-1-WS
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According to our database, Foundations Group Of Mn, Inc NPI is 1770624256, taxonomy code is 251E00000X and license number is 1041613-1-WS, license state is located at Minnesota. Foundations Group Of Mn, Inc physically located at 31100 Forest Blvd, Stacy MN, 55079-9247. NPI Number 1033115704 has the healthcare provider type.

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1770624256 NPI number is provided on an as is basis without warranty of any kind. 1770624256 is maintained by the National Plan & Provider Enumeration System. The contents of Foundations Group Of Mn, Inc are for informational purposes only.