| NPI | 1013640259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRINCESS KOU GEHYIGON-WALLACE Owner 763-913-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 174200000X | |
| 251F00000X Home Infusion | |
| 253Z00000X In Home Supportive Care | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |