NPI | 1053956672 |
---|---|
Doing Business As | HOPEVILLE HOMES |
Entity Type | Organization |
Authorized Contact | CARLOS WALLACE SMITH CEO/Administrator 763-843-8850 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2019-11-07 |
Last Update Date | 2019-11-07 |