| NPI | 1831966720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ORIBAMISE Owner 612-298-5109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 251E00000X Home Health | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-03-04 |