Organization · Type 2 NPI

Sokha Assisted Living, LLC

Administrator Registered Nurse · Shakopee, MN

NPI number 1487544169 Active

Practice location

2217 Meridian Dr
Shakopee, MN 55379-3917

Mailing address

6755 Wildrye Cir S
Cottage Grove, MN 55016-4473

Specialties and licenses

TaxonomyCodeLicense
Administrator Registered Nurse Primary 163WA2000XNone listed
Nursing Care Agency 251J00000XNone listed
Assisted Living Facility 310400000XNone listed

Administrator Registered Nurse: Definition to come...

Another provider at this address

About NPI 1487544169

Sokha Assisted Living, LLC's National Provider Identifier is 1487544169, issued on Jul 7, 2025. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Shakopee, MN. The record was last updated on Jul 8, 2025.