| NPI | 1942853940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DEANNE HENDRICKSON Director 612-413-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-08-22 |