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Organization

LIFESTYLE ADULT DAY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MIKE YANG (OFFICER/MEMBER ORGANIZER)
(651) 247-1737
Entity
Organization

Contact information

Practice address
7089 10TH ST N, OAKDALE, MN 55128-5938
(651) 731-5154
(651) 714-9182
Mailing address
7089 10TH ST N, OAKDALE, MN 55128-5938
(651) 731-5154
(651) 714-9182

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1064601-1-ADC
MN

Other

Enumeration date
04/12/2013
Last updated
04/12/2013
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