NPI 1053749440
State Wide Home Health LLC
Practice location
- Address
- 8617 Edinbrook Xing Suite 131, Brooklyn Park, MN 55443-4016
- Phone
- (763) 202-3923
- Fax
- (952) 217-4513
Authorised official
- Name
- Michael Wayne Foster
- Title
- Owner
- Phone
- (763) 202-3923
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1053749440
- Entity type
- Organization
- NPI issued
- 22 Oct 2013
- Record last updated
- 22 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.