| NPI | 1336033471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENTISAR IBRAHIM ABDELSADIG Owner/Authorized Agent 507-701-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2025-06-04 |