Organization
FAIRFAX COMMUNITY HOME HEALTH
Active
Parent organization
FAIRFAX COMMUNITY HOME INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFAX COMMUNITY HOME INC
Authorized official
JUDITH A SANDMANN (ADMINISTRATOR)
(507) 426-8241
Entity
Organization
Contact information
Practice address
300 10TH AVE SE, FAIRFAX, MN 55332-2149
(507) 426-8241
(507) 426-7340
Mailing address
300 10TH AVE SE, FAIRFAX, MN 55332-2149
(507) 426-8241
(507) 426-7340
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
345866
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030802015
PRIMEWEST HEALTH
MN
05
—
138740500
—
MN
Enumeration date
11/24/2009
Last updated
11/24/2009
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