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

Phouvieng Sivilay

Individual provider Assisted Living Facility · NPI 1245012715

Phouvieng Sivilay is an Assisted Living Facility in Eden Prairie, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2023

Practice location Address checks out

10452 Spyglass Dr
Eden Prairie, MN 55347-4656
Phone: (612) 508-8743
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 39902 (MN)

Record details

NPI number1245012715
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address10428 Shelter Grv, Eden Prairie, MN 55347-4855

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