NPI | 1487533014 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMED AHMED Owner 612-597-1357 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2025-08-28 |
Last Update Date | 2025-10-07 |