Organization
LAKEVILLE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UBAH HASSAN (OWNER)
(507) 271-4262
Entity
Organization
Contact information
Practice address
5928 UPPER 179TH ST W, LAKEVILLE, MN 55044-5088
(612) 688-1062
Mailing address
5928 UPPER 179TH ST W, LAKEVILLE, MN 55044-5088
(612) 688-1062
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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