| NPI | 1790296168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED ZACCHEUS PAYNE President/CEO 763-234-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 381466) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-11-09 |