State Wwide Home Health, LLC
NPI #1558792234 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1558792234
- Entity Type
- Organization
- Organization Name
- State Wwide Home Health, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 6, 2013
- Last Updated
- Dec 6, 2013
Practice Location
- Address
- 8617 EDINBROOK XING
- Address 2
- APT 347
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55443-4016
- Phone
- (763) 400-7667
Authorized Official
- Name
- MICHELL LEE FOSTER
- Title
- OWNER
- Phone
- (763) 400-7667
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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