Organization
FOUR SEASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMWEL BIRUNDU (PRESIDENT)
(952) 994-3619
Entity
Organization
Contact information
Practice address
175 JACKSON AVE N STE 416, HOPKINS, MN 55343-8597
(952) 994-3619
Mailing address
175 JACKSON AVE N STE 416, HOPKINS, MN 55343-8597
(952) 994-3619
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
336116
MN
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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