| NPI | 1316703473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID MIRE Managing Member 612-481-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2025-03-14 |