| NPI | 1952873630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEL MELCHIZEDEK Co Owner 763-269-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2019-04-17 |