| NPI | 1851781058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAD SALAH ABDALLE Administrator 651-347-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse Administrator |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management |
| 163WH0200X Registered Nurse Home Health | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |