| NPI | 1821495904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JIMMIE HUNTER Administrator 763-710-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN R210406-9) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2015-12-15 |