| NPI | 1770643694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE WINBAUER Controller 763-862-5436 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 331577) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MN 801456) |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MN 801457) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MN 801459) | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: MN 801458) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2008-02-12 |