| NPI | 1861797383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMY M BRADFORD Director 612-965-6819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 350307) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MN 350307) |
| 251J00000X Nursing Care (Licence: MN 350307) | |
| 253Z00000X In Home Supportive Care (Licence: MN 350307) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |