| NPI | 1205367430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRIZAK MAHDI IBRAHIM Owner 612-310-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 939290000026) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |