| NPI | 1275523953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMELIA MATA President/Administrator 763-425-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 328275) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2015-10-27 |