NPI | 1528450350 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDI LEE JERNIGAN Executive Director 218-333-8264 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MN 383337) |
Additional Taxonomies | 385H00000X Respite Care (Licence: MN 1067364-1-HCBS) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2024-10-24 |