Fallon Hagy – Respite Care in Wyoming, MN

Key facts

NPI: 1750839296
Entity type: Organization (NPI type 2)
Primary specialty: Respite Care 385H00000X
License: 1082496 (MN)
Legal business name: FALLON HAGY
Practice address: 7332 Wyoming TRL
Wyoming, MN 55092-9343
Phone: (717) 327-6574
Fax: (651) 408-9303
NPI assigned: Sep 13, 2016
Organization subpart: No

Authorized official

Name: Fallon Hagy NPI 1578012126
Title: Owner
Phone: (717) 327-6574

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Fallon Hagy Community Health Worker · Wyoming, MN · NPI 1578012126

NPD (past) Authorized official

National Provider Directory

Tax ID family: Spartanburg Regional (72 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Respite Care	385H00000X	1082496	MN	Yes

Addresses

Primary practice location

7332 Wyoming TRL
Wyoming, MN 55092-9343

Mailing address

7332 Wyoming TRL
Wyoming, MN 55092-9343
Phone (717) 327-6574

Other providers in Wyoming, MN

All providers in Wyoming, MN · Respite Care in Minnesota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.