| NPI | 1114920147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE LARSEN-GRIFFIN Administrator 218-283-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 4579567) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-08-22 |