Organization
F AND K HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED KANNEH (VICE PRESIDENT)
(763) 318-5371
Entity
Organization
Contact information
Practice address
5701 SHINGLE CREEK PKWY STE 422, BROOKLYN CENTER, MN 55430-2467
(763) 318-5371
(763) 207-1764
Mailing address
5701 SHINGLE CREEK PKWY STE 422, BROOKLYN CENTER, MN 55430-2467
(763) 318-5371
(763) 207-1764
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
04/15/2024
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