Provider Demographics
NPI:1790987287
Name:MERCED LAO FAMILY COMMUNITY INC.
Entity Type:Organization
Organization Name:MERCED LAO FAMILY COMMUNITY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HOUA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-384-7384
Mailing Address - Street 1:1748 MILES CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-4300
Mailing Address - Country:US
Mailing Address - Phone:209-384-7384
Mailing Address - Fax:209-384-1911
Practice Address - Street 1:1748 MILES CT
Practice Address - Street 2:SUITE B
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-4300
Practice Address - Country:US
Practice Address - Phone:209-384-7384
Practice Address - Fax:209-384-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty