Individual provider · Type 1 NPI
Faiza Hassan
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bloomington, MN
Practice location
10917 Humboldt Ave S
Bloomington, MN 55431-4221
Other practice locations
- 4544 Stein Ave, Madison, WI 53714-1732 · (608) 819-8460
- 4544 Stein Ave, Madison, WI 53714-1732 · (608) 819-8460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 0015858 (WI) |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1841652898
Faiza Hassan's National Provider Identifier is 1841652898, issued on Mar 28, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Bloomington, MN. The record was last updated on Mar 17, 2018.