| NPI | 1508197054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODUWA AGANMWONYI General Manager 763-528-8303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |