| NPI | 1760002018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD COUGHLIN Administrator 507-402-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-05-14 |