| NPI | 1700875101 |
|---|---|
| Former Legal Business Name | MINNESOTA VISITING NURSE AGENCY |
| Entity Type | Organization |
| Authorized Contact | JEANETTE A. VAN LIEW CEO 612-617-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 324640) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2015-02-12 |