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Organization

FOSTER FAMILY LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARON PETERSON-SCHMIT (OWNER)
(320) 980-1024
Entity
Organization

Contact information

Practice address
266 123RD AVE SE, FOLEY, MN 56329-8733
(320) 980-1024
Mailing address
266 123RD AVE SE, FOLEY, MN 56329-8733

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1075689-HCBS
MN

Other

Enumeration date
12/08/2014
Last updated
12/08/2014
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