Healthcare Provider Details
I. General information
NPI: 1588744643
Provider Name (Legal Business Name): FOLEY HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/16/2006
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
120 NORMAN AVENUE SOUTH
FOLEY MN
56329
US
IV. Provider business mailing address
253 PINE STREET
FOLEY MN
56329
US
V. Phone/Fax
- Phone: 320-968-6425
- Fax: 320-968-7316
- Phone: 320-968-6201
- Fax: 320-968-7051
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | CLASS A - 330225 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ANDREW
C.
HUHTA
Title or Position: ADMINISTRATOR
Credential:
Phone: 320-968-6201