Organization
TEOBI ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANH TAM N NGUYEN (CEO)
(612) 598-2845
Entity
Organization
Contact information
Practice address
5724 BASS LAKE RD, CRYSTAL, MN 55429-2747
(763) 561-3434
Mailing address
PO BOX 390445, EDINA, MN 55439-0445
(612) 598-2845
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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