| NPI | 1073796322 |
|---|---|
| Other Name | LIFE SENIOR CARE PCPO |
| Entity Type | Organization |
| Authorized Contact | MARGERY ANN VETSCH-PETERSON RN Care Manager 763-350-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 988458000) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |