| NPI | 1578380598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID MIRE Owner 612-481-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-09-21 |
| Last Update Date | 2024-09-23 |