| NPI | 1154179794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUN MOALIN Director 612-888-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251C00000X |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |