| NPI | 1376774687 |
|---|---|
| Former Legal Business Name | IMANI ROCK HEALTH SERVICES INC |
| Entity Type | Organization |
| Authorized Contact | ALFRED APATA Director 763-560-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN Class A 343995) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MN CLASS F348031) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2010-10-21 |