| NPI | 1477100287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAY MCKENZIE Manager 763-807-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 174200000X | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |