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Organization

MINNESOTA ADULT DAY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PLOENA HOANG (CEO)
(507) 721-3179
Entity
Organization

Contact information

Practice address
330 ELTON HILLS DR NW, ROCHESTER, MN 55901-2476
(507) 721-3179
Mailing address
330 ELTON HILLS DR NW, ROCHESTER, MN 55901-2476

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A749425000
MN
Enumeration date
08/09/2018
Last updated
08/09/2018
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