| NPI | 1609604396 |
|---|---|
| Former Legal Business Name | OWNER |
| Entity Type | Organization |
| Authorized Contact | WINNIE HARRIS Administrator 763-587-8911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2024-07-24 |