| NPI | 1801972963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK IMHANYIANBHO UGIAGBE Administrator 763-227-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 385H00000X Respite Care (Licence: MN 1040454-1-CFC) | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |