| NPI | 1508309451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL OMODUNMIJU Administrator 612-298-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MN 379629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 379629) |
| Enumeration Date | 2016-11-27 |
| Last Update Date | 2022-07-21 |