| NPI | 1770624256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ERIN SMITH Program Director 651-408-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 689115200) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 1041613-1-ws) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |