| NPI | 1154027068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIAH RAE SHINDER Manager 612-221-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 174200000X |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 251V00000X Voluntary or Charitable | |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 302R00000X Health Maintenance Organization | |
| 385H00000X Respite Care | |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-17 |