| NPI | 1295368348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER RYAN JOHNSON Co Owner 763-516-3415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator |
| 163WC0400X Registered Nurse, Case Management | |
| 164W00000X Licensed Practical Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide | |
| 385H00000X Respite Care | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |