| NPI | 1902425796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDIRAHIM BUSURI Owner/Excutive Director 612-226-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251E00000X Home Health | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2020-04-11 |
| Last Update Date | 2020-04-11 |