| NPI | 1558780882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR TAKPO DAVIS Administrator 952-288-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SH0200X Clinical Nurse Specialist, Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 365718) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-02-20 |