| NPI | 1720637549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIKERM A EIDLEH Owner 612-323-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |