Provider Demographics
NPI:1982193637
Name:KAREN MYANMAR SENIOR SERVICES INC
Entity Type:Organization
Organization Name:KAREN MYANMAR SENIOR SERVICES INC
Other - Org Name:KAREN MYANMAR SENIOR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HTET
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-490-7766
Mailing Address - Street 1:1059 VIKING DR E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2067
Mailing Address - Country:US
Mailing Address - Phone:651-490-7766
Mailing Address - Fax:
Practice Address - Street 1:1059 VIKING DR E
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-2067
Practice Address - Country:US
Practice Address - Phone:651-490-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care