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NPI Code Detail

MEDICARE: HMONG AND LAOTIAN HEALTH CARE, INC.

MEDICARE: HMONG AND LAOTIAN HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyMN

General Provider Information

NPI Number : 1306056718
Entity Type Code : Organization
Provider Name (Legal Business Name) : HMONG AND LAOTIAN HEALTH CARE, INC.
Provider Business Mailing Address
First Line : PO BOX 80253
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-8253
Country : US
Telephone Number : 651-209-7220
Fax Number : 651-209-7229
Provider Business Practice Location Address
First Line : 100 SIGNAL HILLS CTR STE 207
Second Line :
City : WEST SAINT PAUL
State : MN
Zip : 55118-2309
Country : US
Telephone Number : 651-209-7220
Fax Number : 651-209-7229
Authorized Official
Title or Position : ADMINISTRATION
Name : MS. JUALY LEE YANG
Credential :
Telephone Number : 651-209-7220
Provider Enumeration Date : 05/23/2007
Last Update Date : 08/22/2020

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