NPI | 1902285711 |
---|---|
Doing Business As | VESTA BOUTIQUE |
Entity Type | Organization |
Authorized Contact | VESTA YOADE WLEH Owner 763-205-1816 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: MN 825793800035) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2015-05-26 |