Individual provider · Type 1 NPI
Phinsaykeo Souriyathay
Assisted Living Facility · Brooklyn Park, MN
NPI number
1265079404
Active
Practice location
9300 Penn Ave N
Brooklyn Park, MN 55444-1166
Mailing address
6231 Sunny Ln
Brooklyn Park, MN 55428-2732
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Other assisted living facility providers in Brooklyn Park
About NPI 1265079404
Phinsaykeo Souriyathay's National Provider Identifier is 1265079404, issued on Dec 6, 2019. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Brooklyn Park, MN. The record was last updated on Dec 6, 2019.