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 |