| NPI | 1760042253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBAH HUSSEIN DHIBLAWE Executive Director 952-215-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-11-23 |