| NPI | 1306013206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GIBSON President 651-338-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 335500) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 33550) |
| Enumeration Date | 2008-05-11 |
| Last Update Date | 2008-05-11 |