| NPI | 1427739770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YILLAH ELI KARGBO Director Of Nursing 651-398-5708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-11-14 |