| NPI | 1346082112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED A HASSAN Director 651-815-7939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-06-11 |
| Last Update Date | 2024-06-11 |