| NPI | 1922374156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN CLEVE DOSSMAN Owner 612-618-0810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2016-10-10 |