| NPI | 1508268475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOLA ISHOLA Owner 763-777-5995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |