| NPI | 1194402842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED KODAH Manager 952-405-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |