| NPI | 1891341723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILA MUKTAR AHMED Owner/Manager 612-242-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| 310400000X Assisted Living Facility | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2020-03-13 |