| NPI | 1386297547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOFIA H MOHAMED Owner 612-404-7552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |