| NPI | 1922409689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON BOSTROM Director Of Administration 651-815-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 2913) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |