Provider Demographics
NPI:1255632964
Name:MINNESOTA SOUTHEAST ASIAN HOME CARE INC.
Entity type:Organization
Organization Name:MINNESOTA SOUTHEAST ASIAN HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:SIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-398-9392
Mailing Address - Street 1:1162 PEREGRINE DR SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-7808
Mailing Address - Country:US
Mailing Address - Phone:507-398-9392
Mailing Address - Fax:
Practice Address - Street 1:1162 PEREGRINE DR SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-7808
Practice Address - Country:US
Practice Address - Phone:507-398-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health