Organization
FOUNDATIONS GROUP OF MN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY ERIN SMITH (PROGRAM DIRECTOR)
(651) 408-1433
Entity
Organization
Contact information
Practice address
31100 FOREST BLVD, BLDG B, STACY, MN 55079-9247
(651) 408-1433
(651) 408-1434
Mailing address
PO BOX 247, STACY, MN 55079-0247
(651) 408-1433
(651) 408-1434
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
1041613-1-WS
MN
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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