Organization Name: | FAR FROM PAR, LLC |
NPI Number: | 1700263373 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHASE THONVOLD (OWNER) |
Mailing Address: | 1827 E Superior St Duluth |
State: | MN US |
Postal Code: | 558122044 |
Phone Number: | 2187244743 |
Fax Number: | 2187220227 |
NPI Enumeration Date: | 05/02/2015 |
NPI Last Update Date: | 05/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 372398 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |