=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508135211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NAJAH ADULT DAY CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/26/2011
-----------------------------------------------------
Last Update Date | 12/26/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4915 HIGHWAY 52 N STE A
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55901-0165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-990-9751
-----------------------------------------------------
Fax | 507-281-4306
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4915 HIGHWAY 52 N STE A
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55901-0165
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-990-9751
-----------------------------------------------------
Fax | 507-281-4306
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ONWER
-----------------------------------------------------
Name | MS. FARTUN MUNASAR ABU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 507-990-9751
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 311ZA0620X
-----------------------------------------------------
Taxonomy Name | Adult Care Home Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------