| NPI | 1538947817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYASIR O FARAH DAHIR Owner 612-991-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |