| NPI | 1487958138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADINA LATRICE MCCLENDON President 651-290-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN a806435300) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-10 |