| NPI | 1285479998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESHIA ROBERTS Part Owner 612-804-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |