| NPI | 1508105370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEQUILLA LASHOWN CARR-MANNING Owner 763-238-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 359811) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |