Organization
HGS INNOVATIONS
Active
Other names
Lillian Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS GOEDEL (OWNER)
(763) 607-1120
Entity
Organization
Contact information
Practice address
270 MILKYWAY AVE W, LAKE LILLIAN, MN 56253-6000
(320) 664-4848
(320) 664-4850
Mailing address
835 10TH ST, CLEARWATER, MN 55320-4585
(763) 607-1120
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
07/19/2025
Last updated
07/19/2025
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