| NPI | 1134307119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN SCOTT GREIMAN Principal And CEO 612-388-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 338014) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2023-08-22 |