| NPI | 1144967761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAN Y DIRIE Executive Director 612-326-9377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |