| Organization Name: | LAO ADVANCEMENT ORGANIZATION OF AMERICA (LAOA) |
| NPI Number: | 1003261983 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KHAMCHANH NMN PHANTHAVONG (EXECUTIVE DIRECTOR) |
| Mailing Address: | 2648 W Broadway Ave Minneapolis |
| State: | MN US |
| Postal Code: | 554111004 |
| Phone Number: | 6123029154 |
| Fax Number: | 6125222431 |
| NPI Enumeration Date: | 04/28/2016 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 1075697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |