Organization
FORGET-ME-NOT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAZEL H MASUKA (OPERATIONS MANAGER)
(612) 522-0355
Entity
Organization
Contact information
Practice address
6000 BASS LAKE RD, STE. 201, CRYSTAL, MN 55429-2700
(763) 447-7258
Mailing address
1012 MORGAN AVE N, MINNEAPOLIS, MN 55411-3803
(612) 522-0355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
27050
MN
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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