| 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 |