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General NPI Number Information
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NPI Number | 1730379637
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE NURSING AND HOME CARE, INC.
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 8401 73RD AVE N STE E8
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City | BROOKLYN PARK
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State | MN
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Zip | 55428-1508
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Country | US
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Telephone | 612-272-2880
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Fax | 763-503-2363
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Provider Business Mailing Address
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Address Line | 8401 73RD AVE N STE E8
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City | BROOKLYN PARK
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State | MN
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Zip | 55428-1508
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Country | US
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Telephone | 612-598-4604
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Fax | 763-503-2363
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Authorized Official
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Title or Position | OWNER
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Name | LAURA LEA HAVON
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Credential | RN, PHN, LALD
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Telephone | 612-598-4604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 334544
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License Number State | MN
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