| NPI | 1467405498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY JOHANSEN President 605-362-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: AZ HHA4166) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-03-22 |