| NPI | 1972073096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAY MCKENZIE Manager 612-237-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 251E00000X Home Health | |
| 251J00000X Nursing Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2019-02-15 |