| NPI | 1487245858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANG THAO Owner 651-231-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |