| NPI | 1962228411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY CHRISTINE MATTHEWS CEO 763-703-9793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 253Z00000X In Home Supportive Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 342000000X | |
| 374U00000X Home Health Aide | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |