| NPI | 1336981323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHOMED JIMCALE Director 612-438-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-10 |