Whalio Doctors

NPI 1417342494

Fairhavens Home Care

Organisation Nursing Care Agency Brooklyn Park, MN

Practice location

Address
2608 87th Trl N, Brooklyn Park, MN 55443-3742
Phone
(763) 222-4746
Fax
(763) 888-0075

Authorised official

Name
Emeka Linus Chikwelu Okafor
Title
President
Phone
(763) 222-4746

Registered specialties (2)

Nursing Care Agency Primary
Agencies Taxonomy 251J00000X Licence 1077353-1-HCBS (MN)
In Home Supportive Care Agency
Agencies Taxonomy 253Z00000X Licence 1077353-1-HCBS (MN)

Registry record

NPI
1417342494
Entity type
Organization
NPI issued
6 Apr 2015
Record last updated
6 Apr 2015

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.