| NPI | 1316942824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FANNY D GAURNIZO MILLER Executive Director 612-824-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 251E00000X Home Health (Licence: MN 325089) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2017-03-17 |