NPI | 1588317002 |
---|---|
Former Legal Business Name | GENTLE GUARDIANS LLC |
Entity Type | Organization |
Authorized Contact | TAVIA LYNNE ANDERSON Owner/Executive Director 612-224-1095 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2022-02-03 |
Last Update Date | 2022-02-03 |