| NPI | 1700331022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID ZENISEK Program Director 651-355-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 1080231-1-HCBS) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |