NPI | 1629120563 |
---|---|
Doing Business As | HOME AND COMMUNITY BASED REHABILITATION |
Entity Type | Organization |
Authorized Contact | JEANNE OLSON Program Director 763-520-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: MN 8356799) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2008-04-25 |