| NPI | 1700265964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSEIN MOHAMED President/CEO 612-644-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 19934) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN 1075365-1-HCBS) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2017-03-08 |