Organization
HAMMER RESIDENCES, INC.
Active
Other names
HAMMER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. 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 BOULEVERD, WAYZATA, MN 55391-2047
(952) 473-1261
(952) 473-8629
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013345100
—
MN
05
—
033045100
—
MN
05
—
123345900
—
MN
05
—
221545400
—
MN
05
—
318343200
—
MN
05
—
483545000
—
MN
05
—
656726600
—
MN
05
—
713721400
—
MN
Enumeration date
07/24/2006
Last updated
03/08/2017
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