| NPI | 1871147256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ISMAIL AHMED CEO 763-777-5075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2022-05-11 |