| NPI | 1518196831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBIN T. IBANITORU Director 952-956-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 376J00000X Homemaker | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |