| NPI | 1306355961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RICHARD CASTERTON Program Manager/ Owner 612-716-8433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 1088566) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2019-05-17 |