Organization
FOREST GATE ADULT DAYCARE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARTUN JAMA (OWNER)
(320) 828-1980
Entity
Organization
Contact information
Practice address
451 E SAINT GERMAIN ST, SAINT CLOUD, MN 56304-4649
(320) 828-1980
Mailing address
451 E SAINT GERMAIN ST, SAINT CLOUD, MN 56304-4649
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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