| NPI | 1376365775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYRIA I ADEM Owner/Manager 612-423-9456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |