| NPI | 1972398642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M OBONYO Owner 763-447-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251B00000X Case Management |
| 310400000X Assisted Living Facility | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-04-11 |
| Last Update Date | 2025-04-11 |