| NPI | 1902619935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE KUNGU Director 612-806-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |