| NPI | 1033740717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY ANN HERBST President/ Owner 763-401-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 310400000X Assisted Living Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-01-30 |