| NPI | 1841356334 |
|---|---|
| Former Legal Business Name | LIFE CARE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | JIMMY JJ PHOUISANGIEM Director 651-291-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |