| NPI | 1326651779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIOLA IJADIMBOLA Admin Director 763-438-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WA2000X Registered Nurse Administrator | |
| 163WH0200X Registered Nurse Home Health | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 313M00000X Nursing Facility/Intermediate Care Facility | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-07-20 |