| NPI | 1376094847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MN 1083230-1-HCBS) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: MN 1083230-1-HCBS) |
| 310400000X Assisted Living Facility (Licence: MN 1083230-1-HCBS) | |
| 372600000X Adult Companion | |
| 372500000X Chore Provider | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-12-12 |