Organization
LAKES ADULT DAY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHADAR JIGRE ADAN (OWNER)
(425) 829-6945
Entity
Organization
Contact information
Practice address
1516 EAST LAKE STREET, SUITE 200, MINNEAPOLIS, MN 55407
(612) 483-9769
(612) 435-4934
Mailing address
1516 EAST LAKE STREET, SUITE 200, MINNEAPOLIS, MN 55407
(612) 483-9769
(612) 435-4934
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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