Organization
STEADFAST CARE INC
Active
Other names
Steadfast Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ROGERS A AKEMBOM (PRESIDENT)
(651) 206-8084
Entity
Organization
Contact information
Practice address
2569 COPPER CLIFF TRAIL, WOODBURY, MN 55125
(651) 206-8084
Mailing address
2569 COPPER CLIFF TRAIL, WOODBURY, MN 55125
(651) 206-8084
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
03/29/2021
Last updated
12/09/2022
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