| NPI | 1063860401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BYDLON CEO 612-483-1491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MN R-132766-9) |
| Additional Taxonomies | 163WN1003X Registered Nurse, Nutrition Support (Licence: MN R-132766-9) |
| 174H00000X Health Educator (Licence: MN R-132766-9) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |