| NPI | 1649538349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY K MAHLUM CEO 507-272-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: 1-107927) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 253Z00000X In Home Supportive Care (Licence: 1669745105) | |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |