| NPI | 1700914876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ALEXANDER MCINTOSH Administrative Director 763-503-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 335044) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |