NPI | 1831734581 |
---|---|
Entity Type | Organization |
Authorized Contact | YUSUF KHADAR MOHAMED Owner 612-703-7058 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 251E00000X Home Health |
251J00000X Nursing Care | |
253Z00000X In Home Supportive Care | |
332B00000X Durable Medical Equipment & Medical Supplies | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2019-11-15 |
Last Update Date | 2019-11-15 |