| NPI | 1063420198 |
|---|---|
| Former Legal Business Name | PRAIRIE RIVER HOME CARE, INC. |
| Entity Type | Organization |
| Authorized Contact | AUSTIN RONALD FIGGE CIO 763-682-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 330685) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-01-24 |