| NPI | 1881334076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI LEE VANG Owner 612-456-4565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2024-03-25 |