| NPI | 1912356221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VANG President 651-204-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN A873127100) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2023-05-24 |