| NPI | 1962400077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA JEAN KLINEFELTER President/Administrator 763-755-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 328094) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2020-08-22 |