| NPI | 1508042540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELAH M. AZUMAH Owner/Director 651-263-3854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 338346) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 005105000) |
| Enumeration Date | 2008-01-20 |
| Last Update Date | 2008-09-16 |