| NPI | 1629695028 |
|---|---|
| Doing Business As | LIMITED LIABILITY COMPANY |
| Entity Type | Organization |
| Authorized Contact | TONG VANG CEO 651-890-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |