Organization
LAO ADVANCEMENT ORGANIZATION OF AMERICA (LAOA)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHAMCHANH NMN PHANTHAVONG PH.D. (EXECUTIVE DIRECTOR)
(612) 302-9154
Entity
Organization
Contact information
Practice address
2648 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1004
(612) 302-9154
(612) 522-2431
Mailing address
2648 W BROADWAY AVE, MINNEAPOLIS, MN 55411-1004
(612) 302-9154
(612) 522-2431
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1075697
MN
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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