| NPI | 1518275734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN HARRIS CEO/President 612-382-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251T00000X PACE Provider Organization |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-12-15 |