OrganizationActive
Fountain of Grace Home Care Inc.
NPI 1194979658 · Foster Care Agency · Blaine, MN
Provider details
- NPI number
- 1194979658
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Authorized official
- Elizabeth Ewumi, Program Director
Practice location
13125 Hastinhs Street Ne
Blaine, MN 55449
Phone: (763) 413-7200
Fax: (763) 413-7379
Mailing address
21067 Taylor St Ne
East Bethel, MN 55011-4759
Registry dates
- Enumerated
- 2008-11-11
- Last updated
- 2008-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.