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Organization
SMC AHSTON INC
Active
Organization
SMC AHSTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER BONNY (CEO)
(860) 967-9340
Entity
Organization
Contact information
Practice address
3840 BOONE AVE N, NEW HOPE, MN 55427-1601
(763) 566-0831
Mailing address
7100 NORTHLAND CIR N STE 207, BROOKLYN PARK, MN 55428-1500
(763) 566-0831
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/13/2023
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