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Organization

FAWKES HOUSING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KYLE SHEGSTAD (CEO)
(612) 462-8744
Entity
Organization

Contact information

Practice address
12760 ABERDEEN ST NE STE 304, BLAINE, MN 55449-5845
(612) 707-9333
(763) 333-1541
Mailing address
12760 ABERDEEN ST NE STE 304, BLAINE, MN 55449-5845
(612) 707-9333
(763) 333-1541

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
05/19/2022
Last updated
10/07/2024
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