| NPI | 1235782749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE BYMARK Executive Director 218-999-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2023-02-16 |