Organization
FAIRHAVENS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATIENCE CHIZOBA OKAFOR (ADMINISTRATOR)
(763) 222-4747
Entity
Organization
Contact information
Practice address
2608 87TH TRL N, BROOKLYN PARK, MN 55443-3742
(763) 222-4747
Mailing address
2608 87TH TRL N, BROOKLYN PARK, MN 55443-3742
(763) 222-4747
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
366358
MN
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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