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Organization

ALNAS LODGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALADE LATEEF HAMZA CNP (DIRECTOR)
(763) 477-8151
Entity
Organization

Contact information

Practice address
2521 EDINBROOK TER, BROOKLYN PARK, MN 55443-3739
(763) 477-8151
Mailing address
2521 EDINBROOK TER, BROOKLYN PARK, MN 55443-3739
(763) 477-8151

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary

Other

Enumeration date
10/06/2023
Last updated
10/06/2023
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