| NPI | 1114105012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUMA OLISA IKEGWUANI Administrator 612-708-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 339178) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |