| NPI | 1366334138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND OSIOBE Owner 651-396-7159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 376J00000X Homemaker | |
| 251J00000X Nursing Care | |
| 376K00000X Nurse's Aide | |
| 374U00000X Home Health Aide | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 163WH0200X Registered Nurse, Home Health | |
| 310400000X Assisted Living Facility | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 385H00000X Respite Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2026-05-11 |