Healthcare Provider Details

I. General information

NPI: 1013228972
Provider Name (Legal Business Name): GLOBAL ADULT DAY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 06/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 OLD CEDAR AVE S APT 106
BLOOMINGTON MN
55425-2351
US

IV. Provider business mailing address

9110 OLD CEDAR AVE S APT 106
BLOOMINGTON MN
55425-2351
US

V. Phone/Fax

Practice location:
  • Phone: 612-306-8689
  • Fax:
Mailing address:
  • Phone: 612-306-8689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAWAD ZAKIR
Title or Position: PARTNER
Credential: BUSINESS
Phone: 612-306-8689