| NPI | 1144689464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED NUR President 651-210-9428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MN j130181190804) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN j130181190804) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |