| NPI | 1295339166 |
|---|---|
| Doing Business As | LOTUS MOON |
| Entity Type | Organization |
| Authorized Contact | PESEY M KUOCH Owner 612-535-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 177F00000X Lodging |
| 251J00000X Nursing Care | |
| 174200000X | |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |