| NPI | 1396507729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADUMO AHMED JAMAL BABA Co Owner 605-951-2814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-04-12 |