| NPI | 1639966443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH KENYANYA Director 612-806-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |