Organization
HAMMER RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ESTREM (CHIEF EXECUTIVE OFFICER)
(952) 277-2422
Entity
Organization
Contact information
Practice address
1909 WAYZATA BLVD, WAYZATA, MN 55391-2047
(952) 473-1261
(952) 473-8629
Mailing address
1909 WAYZATA BLVD, WAYZATA, MN 55391-2047
(952) 473-1261
(952) 473-8629
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
803918
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148816300
—
MN
Enumeration date
10/31/2006
Last updated
03/08/2017
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