| NPI | 1215342530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA FARAH Director 612-367-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2019-10-18 |