| NPI | 1982830022 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ROOSEVELT B SCOTT Administor 763-561-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 343709) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |