| NPI | 1063596773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY CAROL SAUNDERS Owner 763-295-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 3823) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |