| NPI | 1770125106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ARREY AGBOR Owner 612-227-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 251E00000X Home Health |
| 253J00000X Foster Care Agency | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |