OrganizationActive
Lao Advancement Organization of America (laoa)
NPI 1003261983 · Adult Day Care Clinic/Center · Minneapolis, MN
Provider details
- NPI number
- 1003261983
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Khamchanh Phanthavong, Executive Director
- License
- 1075697 (MN)
Practice location
2648 W Broadway Ave
Minneapolis, MN 55411-1004
Phone: (612) 302-9154
Fax: (612) 522-2431
Mailing address
2648 W Broadway Ave
Minneapolis, MN 55411-1004
Registry dates
- Enumerated
- 2016-04-28
- Last updated
- 2016-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.