| NPI | 1285996520 |
|---|---|
| Former Legal Business Name | HEALING HOME |
| Entity Type | Organization |
| Authorized Contact | PHIA TONY XIONG Executive Director 651-260-8707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MN 17877) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |