| NPI | 1174819031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAXTON PHILLIP RICHARDSON President 763-205-5913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 347982) |
| Additional Taxonomies | 251E00000X Home Health |
| 251E00000X Home Health | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2011-06-20 |