| NPI | 1023863677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIAZIZ JAMA Owner 952-649-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 253Z00000X In Home Supportive Care | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-06-24 |