| NPI | 1003795568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNICE MBONG Owner 612-876-0638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 273R00000X Psychiatric Unit | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 315D00000X Hospice, Inpatient | |
| 385H00000X Respite Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |