Organization
STATE WWIDE HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELL LEE FOSTER (OWNER)
(763) 400-7667
Entity
Organization
Contact information
Practice address
8617 EDINBROOK XING, APT 347, BROOKLYN PARK, MN 55443-4016
(763) 400-7667
Mailing address
8617 EDINBROOK XING, APT 347, BROOKLYN PARK, MN 55443-4016
(763) 400-7667
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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