| NPI | 1275409690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMO ALI Owner 612-459-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 251E00000X Home Health |
| 177F00000X Lodging | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-16 |