| NPI | 1598132086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMILOLA AGUNBIADE Admin 612-886-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN HFID 31880) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2023-11-14 |