| NPI | 1760739262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MARY GERALYN GARDNER Director 507-456-0261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker (Licence: MN 1062304-1ADC) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |