| NPI | 1053401307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODFREY NERO EDAFERIERHI Director 763-504-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 233663400) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |