| NPI | 1083016174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA JOHNSON MARTOR Owner 1 515-441-0708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN R 148120-4) |
| Additional Taxonomies | 253J00000X Foster Care Agency (Licence: MN R 148120-4) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |