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Organization
MENTAL HEALTH NURSING LLC
Active
Organization
MENTAL HEALTH NURSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC L FOSSEN RN (OWNER)
(952) 270-1409
Entity
Organization
Contact information
Practice address
888 COUNTY ROAD D W STE 104, NEW BRIGHTON, MN 55112-8519
(952) 270-1409
Mailing address
888 COUNTY ROAD D W STE 104, NEW BRIGHTON, MN 55112-8519
(952) 270-1409
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
MN
Other
Enumeration date
05/29/2018
Last updated
10/22/2018
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