| NPI | 1093810244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI JO GRATTAN President 218-820-1326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator (Licence: MN 787620300) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: MN 787620300) |
| 3747P1801X Technician, Personal Care Attendant (Licence: MN 787620300) | |
| 376J00000X Homemaker (Licence: MN 787620300) | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |