| NPI | 1073912713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRANDA THORESON Owner 712-346-7853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IA 131859) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IA 131859) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |