Organization
LAO SENIOR HEALTHY LIFE CENTER
Active
Organization
LAO SENIOR HEALTHY LIFE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAENG DOUA KUE (CENTER DIRECTOR)
(612) 227-1691
Entity
Organization
Contact information
Practice address
1501 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2473
(612) 227-1691
(612) 529-4570
Mailing address
7250 CAMDEN AVE N, BROOKLYN CENTER, MN 55430-1229
(612) 227-1691
(612) 529-4570
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1048831-4-ADC
MN
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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