| NPI | 1013159417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY J MCCONACHIE Owner 218-791-5286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: 12094774) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |