| NPI | 1124855218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL MOHAMED JAMA Director 651-374-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-10-21 |