| NPI | 1982226262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINE NELLIE WALKERE Adminstrator 763-227-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251S00000X Community/Behavioral Health | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2022-07-11 |