| NPI | 1790426039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL AYODELE AGUDA Owner/President 612-366-9066 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2026-05-05 |