| NPI | 1568013191 |
|---|---|
| Doing Business As | CHAMPA HOME CARE |
| Entity Type | Organization |
| Authorized Contact | CALVIN SIPHAPASERTH Owner 612-245-9177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |