| Fountain Home Health Llc | |
|
11137 Fillmore St Ne Blaine MN 55434-4524 | |
| (651) 235-6942 | |
| Not Available |
| Full Name | Fountain Home Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11137 Fillmore St Ne, Blaine, Minnesota |
| Authorized Official Name and Position | Boniface Mwangi (OWNER) |
| Authorized Official Contact | 6512356942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Home Health Llc 11137 Fillmore St Ne Blaine MN 55434-4524 Ph: () - | Fountain Home Health Llc 11137 Fillmore St Ne Blaine MN 55434-4524 Ph: (651) 235-6942 |
| NPI Number | 1356009013 |
|---|---|
| Provider Enumeration Date | 11/30/2021 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356009013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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