Organization
HAMMER RESIDENCES, INC
Active
Other names
HAMMER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY R NELSON (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
—
—
Other
Enumeration date
02/14/2007
Last updated
08/22/2020
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