| NPI | 1982854816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR B JOHNSON Executive Director 612-871-3320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 340251) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2024-10-07 |