Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Phinsaykeo Souriyathay

Individual provider Assisted Living Facility · NPI 1265079404

Miss. Phinsaykeo Souriyathay is an Assisted Living Facility in Brooklyn Park, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

9300 Penn Ave N
Brooklyn Park, MN 55444-1166
Phone: (612) 368-1236
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1265079404
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2019
Last updated in NPPESDecember 6, 2019

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