| NPI | 1164241360 |
|---|---|
| Former Legal Business Name | HOMEGROWN KIDS LLC |
| Entity Type | Organization |
| Authorized Contact | KELLIE BOWERS Owner 952-200-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |