| NPI | 1386153583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE GAINES President 612-306-4843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 275N00000X Medicare Defined Swing Bed Unit | |
| 302F00000X Exclusive Provider Organization | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2021-06-01 |