| NPI | 1679217954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARMARKE MOHAMUD ALI Manager 612-275-6282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251E00000X Home Health |
| 311Z00000X Custodial Care Facility | |
| Enumeration Date | 2022-04-23 |
| Last Update Date | 2022-07-08 |