NPI 1083263784
First Choice Residential
Practice location
- Address
- 19375 Harmony Ave, Rogers, MN 55374-4828
- Phone
- (763) 232-3558
Authorised official
- Name
- Momodou Fofana
- Title
- Administrator
- Phone
- (763) 232-3558
Registered specialties
Nursing Care Agency
Primary
Registry record
- NPI
- 1083263784
- Entity type
- Organization
- NPI issued
- 5 Sep 2019
- Record last updated
- 5 Sep 2019
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.