| NPI | 1467037457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTA JOHNSON Owner/Alte RN Ate Administrator 651-398-9925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-04-03 |