Provider Demographics
NPI:1588744643
Name:FOLEY HEALTH CARE INC
Entity type:Organization
Organization Name:FOLEY HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:C
Authorized Official - Last Name:HUHTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-968-6201
Mailing Address - Street 1:253 PINE STREET
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:MN
Mailing Address - Zip Code:56329
Mailing Address - Country:US
Mailing Address - Phone:320-968-6201
Mailing Address - Fax:320-968-7051
Practice Address - Street 1:120 NORMAN AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329
Practice Address - Country:US
Practice Address - Phone:320-968-6425
Practice Address - Fax:320-968-7316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCLASS A - 330225251E00000X
310400000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN562355300Medicaid
MN562355300Medicaid
MN562355300Medicaid