| NPI | 1578008355 |
|---|---|
| Doing Business As | FAIRVIEW HOME CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | PAMELA HALVORSON President/Mng Emp/Director/AO 612-728-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2020-06-17 |