| NPI | 1548574403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIRRI ATANG NOMO-ONGOLO Medical Director 612-788-2273 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: none) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |