| NPI | 1639218084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BOEHMER Agency Director 605-224-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN Class B Paraprofessi) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |