Organization
MTT FIELDS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRRIAM CHIPOKA (OWNER)
(612) 961-0018
Entity
Organization
Contact information
Practice address
5290 FOUNTAIN LN N, PLYMOUTH, MN 55446-4642
(612) 961-0018
Mailing address
5290 FOUNTAIN LN N, PLYMOUTH, MN 55446-4642
(612) 961-0018
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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