| NPI | 1609464916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE OCHIENG Director 507-218-9366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |