Provider Demographics
NPI:1457681421
Name:ASIAN ADULT DAY CARE LLC
Entity Type:Organization
Organization Name:ASIAN ADULT DAY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAFOUA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-260-6048
Mailing Address - Street 1:1410 ENERGY PARK DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-5249
Mailing Address - Country:US
Mailing Address - Phone:651-260-6048
Mailing Address - Fax:651-797-3868
Practice Address - Street 1:1410 ENERGY PARK DR STE 1
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-5249
Practice Address - Country:US
Practice Address - Phone:651-260-6048
Practice Address - Fax:651-797-3868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care