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Brook T Fantaw
Home Health Agency in Minnetonka, Minnesota
NPI 1427816784

Brook T Fantaw is a Home Health Agency based in Minnetonka, MN. Brook T Fantaw practices in Minnetonka, MN. The NPI Number for Brook T Fantaw is 1427816784 and holds a License No. (Minnesota).

The current practice location address for Brook T Fantaw is 3621 Williston Rd, Minnetonka, MN and can be reached out via phone at 952-457-7546.

Location: 3621 Williston Rd, Minnetonka, MN, 55345-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427816784
Provider Name
Brook T Fantaw
Credential
Provider Entity Type
Individual
Gender
Male
Address
3621 Williston Rd, Minnetonka, MN, 55345-2129
Phone Number
952-457-7546
Fax Number
Provider Enumeration Date
03/11/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3621 Williston Rd
City
Minnetonka
State
Minnesota
Zip
55345-2129
Phone Number
952-457-7546
Fax Number
person
Provider Business Mailing Address Details
Address
3621 Williston Rd
City
Minnetonka
State
Minnesota
Zip
55345-2129
Phone Number
952-457-7546
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Minnesota)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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