| NPI | 1801178983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW OLUSAKIN AMUSAN Administrator 651-278-1144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 353744) |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2015-12-28 |