| NPI | 1679389761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIANEE COLE Owner 612-636-4745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251J00000X Nursing Care |
| 253Z00000X In Home Supportive Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-05-07 |