| NPI | 1861001059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEEN GBOR HILL Co Owner/Manager 612-578-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2020-07-24 |