Individual provider · Type 1 NPI

Grace Jepchirchir Fidalgo, RN

Foster Care Agency · Cottage Grove, MN

NPI number 1730722745 Active

Practice location

6222 Hedgecroft Ave S
Cottage Grove, MN 55016-6002

Fax (651) 330-5351

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse 163WH0200X2441890 (MN)
Home Health Aide 374U00000XNone listed
Foster Care Agency Primary 253J00000X1099897 (MN)

Foster Care Agency: A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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About NPI 1730722745

Grace Jepchirchir Fidalgo, RN's National Provider Identifier is 1730722745, issued on Oct 22, 2019. The primary taxonomy on file is Foster Care Agency (253J00000X), and the practice location is in Cottage Grove, MN. The record was last updated on Apr 12, 2022.