| NPI | 1659871507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALID AHMAD HAWADLE President / Manager 612-407-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |