| Mayfair Home Health Llc | |
|
11872 Emery Village Dr N Champlin MN 55316-2490 | |
| (763) 447-7411 | |
| Not Available |
| Full Name | Mayfair Home Health Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 11872 Emery Village Dr N, Champlin, Minnesota |
| Authorized Official Name and Position | Mutinta Muleya (OWNER) |
| Authorized Official Contact | 7634477411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfair Home Health Llc 11872 Emery Village Dr N Champlin MN 55316-2490 Ph: (763) 447-7411 | Mayfair Home Health Llc 11872 Emery Village Dr N Champlin MN 55316-2490 Ph: (763) 447-7411 |
| NPI Number | 1700502275 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 10/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700502275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Allina Health Champlin Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11269 Jefferson Hwy N, Champlin, MN 55316 Phone: 763-236-0600 Fax: 763-427-9626 |