| NPI | 1003261983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAMCHANH NMN PHANTHAVONG Executive Director 612-302-9154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1075697) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |