| NPI | 1003088998 |
|---|---|
| Doing Business As | PEDIATRIC HOME SERVICE |
| Entity Type | Organization |
| Authorized Contact | JOYCE A BULMAN VP Of Quality And Compliance 651-789-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 0009412) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2025-03-13 |