NPI | 1467587303 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM DEU THAO Program Manager 651-312-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MN 1042021-1-WS) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2020-08-22 |