| NPI | 1457611386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS JAMES MICEK Director 612-889-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |