| NPI | 1689132490 | 
|---|---|
| Doing Business As | FAIRHAVENS HOME CARE LLC | 
| Entity Type | Organization | 
| Authorized Contact | EMEKA LINUS CHIKWELU OKAFOR President 763-222-4746  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251E00000X Home Health | 
| Additional Taxonomies | 251J00000X Nursing Care | 
| Enumeration Date | 2019-03-11 | 
| Last Update Date | 2019-07-12 |