| NPI | 1568228054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMAYA MOHAMMED Authorized Agent 612-403-0975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-06-26 |