| NPI | 1811422686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAY SOUNG CEO 651-398-1728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN A741158800) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN A247448300) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |