| NPI | 1669845707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN ANN JOHNSON Administrator 651-488-4655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2020-03-25 |