| NPI | 1780254920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRWA ADAN Owner 612-987-9775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 332U00000X Home Delivered Meals | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-08-13 |