| NPI | 1639057581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OBWAYA Director 763-339-4495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2025-08-26 |
| Last Update Date | 2025-08-26 |