Organization
HAZEL SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONG VANG (OPERATIONS MANAGER)
(651) 600-4403
Entity
Organization
Contact information
Practice address
1109 HAZEL ST N, SAINT PAUL, MN 55119-4806
(651) 600-4403
Mailing address
1109 HAZEL ST N, SAINT PAUL, MN 55119-4806
(651) 600-4403
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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