| NPI | 1093361644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUKADIR NOR Owner 952-381-5927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2020-04-06 |