| NPI | 1326573080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYING LOR VANG President 651-793-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1067013-4-ADC) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |