| NPI | 1295251668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADERONKE PLANREWAJU MORDI President And CEO 507-252-8151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2022-07-21 |