Organization
FAIRHAVENS HOME CARE LLC
Active
Other names
Fairhavens Home Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMEKA LINUS CHIKWELU OKAFOR RN (PRESIDENT)
(763) 222-4746
Entity
Organization
Contact information
Practice address
2608 87TH TRL N, BROOKLYN PARK, MN 55443-3742
(763) 222-4746
(763) 888-0075
Mailing address
2608 87TH TRL N, BROOKLYN PARK, MN 55443-3742
(763) 222-4746
(763) 888-0075
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
03/11/2019
Last updated
07/12/2019
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