| NPI | 1548793300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDULLAHI FARAH Owner/CEO 952-688-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 251E00000X Home Health | |
| 251T00000X PACE Provider Organization | |
| 310500000X Intermediate Care Facility, Mental Illness | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2017-04-09 |
| Last Update Date | 2017-04-09 |