Organization
FAITH HOME ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAWI B DAYO (OWNER)
(612) 408-2536
Entity
Organization
Contact information
Practice address
19219 CARSON ST NW, ELK RIVER, MN 55330-2690
(612) 408-2536
Mailing address
19219 CARSON ST NW, ELK RIVER, MN 55330-2690
(612) 408-2536
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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