| NPI | 1396590188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD SAMUEL GRAY Owner 763-283-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-06-06 |