| NPI | 1801100078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED KODAH Manager 612-987-1120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MN N8171779036913) |
| Additional Taxonomies | 251E00000X Home Health |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |