| NPI | 1972803054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ONWUASO ONYENEMEZU Administrator/Manager 763-843-5454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MN 348935) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: MN 348935) |
| 251E00000X Home Health (Licence: MN 348935) | |
| Enumeration Date | 2010-10-23 |
| Last Update Date | 2010-10-27 |