| NPI | 1356978795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIRFE A DEBELA Owner 612-512-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2023-03-15 |