| NPI | 1417772187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN UMAR ABDULLAHI Owner, CEO 612-323-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |