| NPI | 1215588140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KOPISCHKE Fiscal Manager 507-386-5572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 174H00000X Health Educator |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-12-18 |