| NPI | 1134633704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLANIYI ODEKU Administrator 651-500-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN 382067) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2017-11-18 |