Provider Demographics
NPI:1518489152
Name:DELIGHT ADULT DAYCARE LLC
Entity Type:Organization
Organization Name:DELIGHT ADULT DAYCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHAD
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:MURSAL
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:320-282-3245
Mailing Address - Street 1:412 32ND AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-3763
Mailing Address - Country:US
Mailing Address - Phone:320-282-3245
Mailing Address - Fax:320-205-0668
Practice Address - Street 1:412 32ND AVE N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-3763
Practice Address - Country:US
Practice Address - Phone:320-282-3245
Practice Address - Fax:320-205-0668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1087679261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care