| NPI | 1992878136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADETOUN OLUFADEBI COKER Administrator 763-561-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN CLASS A PROFESSIONAL) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |