Individual
MISTI FARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 METRO PKWY STE 120, BLOOMINGTON, MN 55425-1539
(612) 598-8449
Mailing address
7850 METRO PKWY STE 120, BLOOMINGTON, MN 55425-1539
(612) 598-8449
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
12/01/2023
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