| NPI | 1487079265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDI S. WARSAME Director 651-600-3869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: MN 375684) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: MN 366231) |
| 251E00000X Home Health | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2016-02-24 |