Organization · Type 2 NPI
Henry Hagen Residence
Intellectual Disabilities Intermediate Care Facility · Hastings, MN
NPI number
1194901751
Active
Practice location
19845 Lillehei Ave
Hastings, MN 55033-9354
Fax (651) 437-9363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 01091 (MN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1194901751
Henry Hagen Residence's National Provider Identifier is 1194901751, issued on Jan 14, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hastings, MN. The record was last updated on Jan 14, 2008.