Provider Demographics
NPI:1891960761
Name:MASSFEE HOME CARE SERVICES
Entity Type:Organization
Organization Name:MASSFEE HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:MASSAH
Authorized Official - Last Name:BAYSAH
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:612-267-1879
Mailing Address - Street 1:1804 FESCUE CIR
Mailing Address - Street 2:
Mailing Address - City:SHAKOPEE
Mailing Address - State:MN
Mailing Address - Zip Code:55379
Mailing Address - Country:US
Mailing Address - Phone:612-267-1879
Mailing Address - Fax:952-314-4756
Practice Address - Street 1:1804 FESCUE CIR
Practice Address - Street 2:
Practice Address - City:SHAKOPEE
Practice Address - State:MN
Practice Address - Zip Code:55379
Practice Address - Country:US
Practice Address - Phone:612-267-1879
Practice Address - Fax:952-314-4756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty