Organization
HOSANNA SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLI THOMAS (EXECUTIVE DIRECTOR)
(952) 435-7199
Entity
Organization
Contact information
Practice address
9850 163RD STREET W, LAKEVILLE, MN 55044
(952) 435-7199
(952) 435-7198
Mailing address
9850 163RD STREET W, LAKEVILLE, MN 55044
(952) 435-7199
(952) 435-7198
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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