| NPI | 1659490753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL OKIDEGBE Program Administrator 763-503-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 331994) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-05-10 |