| NPI | 1396980793 |
|---|---|
| Other Name | PRIVATE DUTY NURSE AGENCY |
| Entity Type | Organization |
| Authorized Contact | FOLUSO AYOTUNKU ALLISON Administrator 763-432-9706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 340166) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 340801) |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2008-12-13 |