Organization
PROSPERITY ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAI YANG (PROGRAM MANAGER)
(651) 785-6896
Entity
Organization
Contact information
Practice address
12844 RAVEN ST NW, COON RAPIDS, MN 55448-2578
(651) 785-6896
Mailing address
12844 RAVEN ST NW, COON RAPIDS, MN 55448-2578
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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