Healthcare Provider Details

I. General information

NPI: 1982193637
Provider Name (Legal Business Name): KAREN MYANMAR SENIOR SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2018
Last Update Date: 12/16/2019
Certification Date: 12/16/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1059 VIKING DR E
MAPLEWOOD MN
55109-2067
US

IV. Provider business mailing address

1059 VIKING DR E
MAPLEWOOD MN
55109-2067
US

V. Phone/Fax

Practice location:
  • Phone: 651-490-7766
  • Fax:
Mailing address:
  • Phone: 651-490-7766
  • 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: HTET LIN
Title or Position: CO-OWNER/ MANAGER
Credential:
Phone: 651-490-7766