| NPI | 1326609694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KRPATA Accountant 507-281-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2019-06-26 |