| NPI | 1487274908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUSUF ALI Executive Director 651-200-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-05-01 |