| NPI | 1306260526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GBOEAH Administrator 763-546-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 363079) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: MN 1067129-1-HCBS) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |