| NPI | 1366989139 |
|---|---|
| Doing Business As | HIGHLAND BLOCK NURSE PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOSEPH STANISLAV CEO/President 651-789-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 347C00000X Private Vehicle | |
| 385H00000X Respite Care | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-06-08 |