| NPI | 1144060369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIDWAN ISSE Owner 612-545-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-05-27 |
| Last Update Date | 2024-09-05 |