| NPI | 1912658246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN MUHIDINE VP 612-770-8226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |