Fountain Home Health LLC

NPI #1356009013 in Blaine, Minnesota

Provider Information

NPI Number
1356009013
Entity Type
Organization
Organization Name
Fountain Home Health LLC
Primary Specialty
Clinic/Center
Enumeration Date
Nov 30, 2021
Last Updated
Mar 7, 2023

Practice Location

Address
11137 FILLMORE ST NE
City
Blaine
ZIP Code
55434-4524
Phone
(651) 235-6942

Authorized Official

Name
BONIFACE MWANGI
Title
OWNER
Phone
(651) 235-6942

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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