Organization
FIRST CHOICE RESIDENTIAL LLC
Active
Other names
First Choice Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MOMODOU FOFANA (ADMINISTRATOR)
(763) 232-3558
Entity
Organization
Contact information
Practice address
19375 HARMONY AVE, ROGERS, MN 55374-4828
(763) 232-3558
Mailing address
19375 HARMONY AVE, ROGERS, MN 55374-4828
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
03/26/2020
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