| NPI | 1194416891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ABDI MOHAMED CEO 612-978-6645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251F00000X Home Infusion |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-10-25 |