Whalio Doctors

NPI 1558792234

State Wwide Home Health, LLC

Organisation Skilled Nursing Facility Brooklyn Park, MN

Practice location

Address
8617 Edinbrook Xing APT 347, Brooklyn Park, MN 55443-4016
Phone
(763) 400-7667

Authorised official

Name
Michell Lee Foster
Title
Owner
Phone
(763) 400-7667

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X

Registry record

NPI
1558792234
Entity type
Organization
NPI issued
6 Dec 2013
Record last updated
6 Dec 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.