Organization
GOOD FAITH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINIRU OMOTAYO ALAWIYE (ADMINISTRATOR)
(763) 438-2936
Entity
Organization
Contact information
Practice address
6500 BROOKLYN BLVD, SUITE 200, BROOKLYN CENTER, MN 55429-1754
(763) 438-2936
(763) 503-9451
Mailing address
6040 EARLE BROWN DR, SUITE 260, BROOKLYN CENTER, MN 55430-2514
(763) 208-9272
(763) 503-9451
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
10/21/2013
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