Organization
FOUNTAIN OF GRACE HOME CARE INC.
Active
Organization
FOUNTAIN OF GRACE HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH EWUMI (PROGRAM DIRECTOR)
(763) 413-7200
Entity
Organization
Contact information
Practice address
13125 HASTINHS STREET NE, BLAINE, MN 55449
(763) 413-7200
(763) 413-7379
Mailing address
21067 TAYLOR ST NE, EAST BETHEL, MN 55011-4759
(763) 413-7200
(763) 413-7379
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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