Henry Hagen Residence
NPI #1194901751 in Hastings, Minnesota
Provider Information
- NPI Number
- 1194901751
- Entity Type
- Organization
- Organization Name
- Henry Hagen Residence
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Jan 14, 2008
- Last Updated
- Jan 14, 2008
Practice Location
Authorized Official
- Name
- ROGER DAVID REYNOLDS
- Title
- OWNER
- Phone
- (651) 603-8881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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