| NPI | 1376185959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY J WAHLSTROM-MCALISTER Vice President 952-693-0545 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-10-15 |
| Last Update Date | 2022-07-11 |