| Organization Name: | CHI HEALTH CONNECT AT HOME-FARGO |
| NPI Number: | 1265747729 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGARET A NELSON (EXECUTIVE DIRECTOR HOMECARE) |
| Mailing Address: | 323 Main Ave S Park Rapids |
| State: | MN US |
| Postal Code: | 564701550 |
| Phone Number: | 7012378139 |
| Fax Number: | 7012378102 |
| NPI Enumeration Date: | 08/09/2010 |
| NPI Last Update Date: | 08/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 346597 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |