Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOUVIENG SIVILAY
Active Sole ProprietorPHOUVIENG SIVILAY is a Assisted Living Facility healthcare provider located in EDEN PRAIRIE, Minnesota. NPI 1245012715 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · EDEN PRAIRIE, MN
Registration Details
- NPI Number
- 1245012715
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2023 (2.8093761577712 yrs)
- Last Updated
- Oct 18, 2023
- License
-
39902 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10452 SPYGLASS DREDEN PRAIRIE, MN, 553474656Browse MN providers · Browse ZIP 55347
- Phone
- 6125088743
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.