Provider Demographics
NPI:1508135211
Name:NAJAH ADULT DAY CARE INC
Entity Type:Organization
Organization Name:NAJAH ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MS
Authorized Official - First Name:FARTUN
Authorized Official - Middle Name:MUNASAR
Authorized Official - Last Name:ABU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-990-9751
Mailing Address - Street 1:4915 HIGHWAY 52 N STE A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-0165
Mailing Address - Country:US
Mailing Address - Phone:507-990-9751
Mailing Address - Fax:507-281-4306
Practice Address - Street 1:4915 HIGHWAY 52 N STE A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-0165
Practice Address - Country:US
Practice Address - Phone:507-990-9751
Practice Address - Fax:507-281-4306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-26
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home