| NPI | 1477082295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE MOMOH ROQUES Owner 763-528-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN A332463300) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN A476688100) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |