| NPI | 1902525033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED FARAH Owner 612-409-0402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |