| NPI | 1730822255 |
|---|---|
| Doing Business As | LOGO COMMUNITY SUPPORT SERVICES |
| Entity Type | Organization |
| Authorized Contact | ADRIANNE JANNIBAH GOULD CEO 763-501-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2022-04-14 |