| NPI | 1235645763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGE BASHIR YUSUF Owner/Program Director 952-681-2195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 372500000X Chore Provider (Licence: MN 1090379-1-) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2023-02-09 |