| NPI | 1487129623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLEN B SUTTON Director /Registered Nurse. 763-843-1255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2019-04-29 |