| NPI | 1942029871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURANIE BLAMA KANNEH Owner/ CEO 612-309-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251F00000X Home Infusion | |
| 251S00000X Community/Behavioral Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 374U00000X Home Health Aide | |
| 385HR2050X Respite Care Respite Care Camp | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-18 |