| Organization Name: | KANG LE LLC |
| NPI Number: | 1023456092 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LIXIN QIN (PRESIDENT) |
| Mailing Address: | 6632 Penn Ave S Richfield |
| State: | MN US |
| Postal Code: | 554232026 |
| Phone Number: | 6123845953 |
| Fax Number: | |
| NPI Enumeration Date: | 06/11/2013 |
| NPI Last Update Date: | 06/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | 1064338 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |