| NPI | 1760095988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGAL ABDI Owner 612-386-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251E00000X Home Health | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |