| NPI | 1285217364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASIN SIYAD Operator 612-407-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2022-08-11 |