| NPI | 1508308842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISHMAEL KOMARA Executive Director 763-458-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2021-11-01 |