| NPI | 1003280751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRASHID HUSSEIN BOMBOLO President 612-423-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 41155) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |