| NPI | 1770184129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIETTE NICOLE JACKSON President/Owner 651-443-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376K00000X Nurse's Aide | |
| 372500000X Chore Provider | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician Personal Care Attendant | |
| 374J00000X Doula | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-10 |