| NPI | 1861367690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERAY MBALU LANSANA Registered Nurse 952-999-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |