Organization
HAVENWORTH ASSISTED LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED AMIN JAMAL HASSAN (OWNER/CEO)
(952) 212-3479
Entity
Organization
Contact information
Practice address
2717 CEDAR LN, BURNSVILLE, MN 55337-2105
(952) 212-3479
Mailing address
2717 CEDAR LN, BURNSVILLE, MN 55337-2105
(952) 212-3479
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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