| NPI | 1255808499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SMITH Director Of Admin. And Compliance 612-277-0243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2018-10-25 |