| NPI | 1235418641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA SHARAWN WILLIAMS Administrator 763-493-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN 1019049-1-RH) |
| 253Z00000X In Home Supportive Care (Licence: MN 1014217-4-RH) | |
| 251J00000X Nursing Care (Licence: MN 362066) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2024-02-20 |