| NPI | 1881362986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON K MABWAI Don 763-639-9537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |