Provider Demographics
NPI:1457531949
Name:HMONG SKILLED SERVICES, INC.
Entity Type:Organization
Organization Name:HMONG SKILLED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOUA
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-333-6647
Mailing Address - Street 1:2411 E FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1026
Mailing Address - Country:US
Mailing Address - Phone:612-333-6647
Mailing Address - Fax:612-332-4342
Practice Address - Street 1:2411 E FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1026
Practice Address - Country:US
Practice Address - Phone:612-333-6647
Practice Address - Fax:612-332-4342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility