| NPI | 1255125662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOGAN SHEPPARD Vice President Of Operations 952-290-3667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |