| NPI | 1811021090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS Chief Regulatory Officer Sr Asst Gc 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA 1615) |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2026-06-20 |