# FAVENTE HOME SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477402501
- **Authorized official:** KEBBEH REED TINNIE RN, BSN, PHN (RN CARE COORDINATOR)
- **Authorized official phone:** (701) 566-1664

## Contact information

- **Practice address:** 3725 18TH ST S, MOORHEAD, MN 56560-2994
- **Practice address phone:** (701) 566-1664
- **Mailing address:** 3725 18TH ST S, MOORHEAD, MN 56560-2994
- **Mailing address phone:** (701) 566-1664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 163WH0200X | Home Health Registered Nurse | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2026
- **Last updated:** 01/22/2026