| NPI | 1063750131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAILETHA WOODS Owner 989-992-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 4704236541) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-03-08 |