Healthcare Provider Details

I. General information

NPI: 1659296358
Provider Name (Legal Business Name): TREZA ADULT DAY CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2497 7TH AVE E STE 106
NORTH SAINT PAUL MN
55109-2949
US

IV. Provider business mailing address

2497 7TH AVE E STE 106
NORTH SAINT PAUL MN
55109-2949
US

V. Phone/Fax

Practice location:
  • Phone: 651-340-1135
  • Fax:
Mailing address:
  • Phone: 651-340-1135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: ABDULAZIZ FARAH
Title or Position: OWNER
Credential:
Phone: 612-735-0247