Healthcare Provider Details

I. General information

NPI: 1992940498
Provider Name (Legal Business Name): YAOSON HOMECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2008
Last Update Date: 12/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 BROOKLYN BLVD STE 102
BROOKLYN PARK MN
55443-2966
US

IV. Provider business mailing address

7710 BROOKLYN BLVD STE 102
BROOKLYN PARK MN
55443-2966
US

V. Phone/Fax

Practice location:
  • Phone: 763-561-0835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. LENG VANG
Title or Position: DIRECTOR
Credential:
Phone: 763-561-0835