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Organization
PROSPERITY CARE RESIDENCE, LLC
Active
Organization
PROSPERITY CARE RESIDENCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHERWAYIA THAO (OWNER / ADMINISTRATOR)
(612) 759-2379
Entity
Organization
Contact information
Practice address
1233 PROSPERITY AVE, SAINT PAUL, MN 55106-2124
(651) 666-5348
(844) 444-1256
Mailing address
1233 PROSPERITY AVE, SAINT PAUL, MN 55106-2124
(651) 666-5348
(844) 444-1256
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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