| NPI | 1376794396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KECIA CANNON Owner 612-408-3433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |