Organization
STATE WIDE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WAYNE FOSTER (OWNER)
(763) 202-3923
Entity
Organization
Contact information
Practice address
8617 EDINBROOK XING, SUITE 131, BROOKLYN PARK, MN 55443-4016
(763) 202-3923
(952) 217-4513
Mailing address
8617 EDINBROOK XING, SUITE 131, BROOKLYN PARK, MN 55443-4016
(763) 202-3923
(952) 217-4513
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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