| NPI | 1730730508 |
|---|---|
| Doing Business As | ANGELS ON MAIN |
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES FAIR Administrator 763-241-4428 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |