NPI | 1013438423 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIKA REESE Chief Executive Officer 651-410-8148 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MN 1088251-1-HCBS) |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2017-07-06 |
Last Update Date | 2023-12-21 |