| NPI | 1730808288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANS TILLMAN-LOUIS WILBURN Trustee 612-849-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications |
| Additional Taxonomies | 177F00000X Lodging |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-28 |