Organization
HSL 12, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILO PINKERTON (CORPORATE BUSINESS OFFICE MANAGER)
(952) 351-4552
Entity
Organization
Contact information
Practice address
800 WALL ST, ELM GROVE, WI 53122-2631
(952) 351-4552
Mailing address
1295 NORTHLAND DR STE 270, MENDOTA HEIGHTS, MN 55120-1373
(952) 351-4552
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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