| NPI | 1326721770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUSHKIN E ASIIMWE Owner 763-647-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |