| NPI | 1215639877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLE CLERMONT KANNEH Executive Director 612-709-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 347C00000X Private Vehicle |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 343800000X Secured Medical Transport (VAN) | |
| 251J00000X Nursing Care | |
| 342000000X Transportation Network Company | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 310400000X Assisted Living Facility | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2025-10-29 |