| Forest Gate Adult Daycare L.l.c. | |
|
451 E Saint Germain St Saint Cloud MN 56304-4649 | |
| (320) 828-1980 | |
| Not Available |
| Full Name | Forest Gate Adult Daycare L.l.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 451 E Saint Germain St, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Fartun Jama (OWNER) |
| Authorized Official Contact | 3208281980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Gate Adult Daycare L.l.c. 451 E Saint Germain St Saint Cloud MN 56304-4649 Ph: () - | Forest Gate Adult Daycare L.l.c. 451 E Saint Germain St Saint Cloud MN 56304-4649 Ph: (320) 828-1980 |
| NPI Number | 1477273670 |
|---|---|
| Provider Enumeration Date | 08/30/2022 |
| Last Update Date | 08/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477273670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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