| NPI | 1255862280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WALTER MARTINI CEO 612-203-2473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 380825) |
| Additional Taxonomies | 225XH1300X Occupational Therapist, Human Factors (Licence: MN 380825) |
| 302R00000X Health Maintenance Organization (Licence: MN 380825) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 380825) | |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |