| NPI | 1598862708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BENNEROTTE CEO 612-379-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: MN 330410) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-04-23 |