Organization
FAIRVIEW HOME CARE AND HOSPICE
Active
Other names
Fairview Home Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA HALVORSON (PRESIDENT/MNG EMP/DIRECTOR/AO)
(612) 728-2240
Entity
Organization
Contact information
Practice address
2450 26TH AVE S, MINNEAPOLIS, MN 55406-1245
(952) 924-7031
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/03/2017
Last updated
06/17/2020
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