Individual
LUCY ADON FALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5643 NORTHPORT DR, BROOKLYN CENTER, MN 55429-3016
(763) 316-7741
Mailing address
10509 EAGLE ST NW, COON RAPIDS, MN 55433-4895
(763) 316-7741
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/22/2025
Last updated
01/20/2026
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