| NPI | 1679867451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNA DOROTHY SHERMAN Owner/Administrator 218-316-2724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: TX 102917) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |