Provider Demographics
NPI:1043768849
Name:UNIQUE ADULT DAY CARE CENTER, LLP
Entity Type:Organization
Organization Name:UNIQUE ADULT DAY CARE CENTER, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOUNEY
Authorized Official - Middle Name:TOUZAKAO
Authorized Official - Last Name:XIONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-348-6979
Mailing Address - Street 1:911 RICE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-5424
Mailing Address - Country:US
Mailing Address - Phone:651-348-6979
Mailing Address - Fax:651-414-0168
Practice Address - Street 1:911 RICE ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-5424
Practice Address - Country:US
Practice Address - Phone:651-348-6979
Practice Address - Fax:651-414-0168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1077962-1-ADC261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care