| NPI | 1861246696 |
|---|---|
| Doing Business As | CHANNA PITTMAN |
| Entity Type | Organization |
| Authorized Contact | CHANNA ROXANNE PITTMAN Owner 651-354-4228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |