| NPI | 1609201235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND MBAANIK FONDO Manager 651-239-6149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 698669300020) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-11-12 |