Henry Hagen Residence

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1194901751

Henry Hagen Residence is an Intellectual Disabilities Intermediate Care Facility in Hastings, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in: MN
In the registry since: 2008

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Practice location Address checks out

19845 Lillehei Ave
Hastings, MN 55033-9354
Phone: (651) 437-9363
Fax: (651) 437-9363

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary)	Taxonomy 315P00000X · Licence 01091 (MN)

Record details

NPI number	1194901751
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Roger Reynolds — Owner · (651) 603-8881
NPI enumerated	January 14, 2008
Last updated in NPPES	January 14, 2008
Mailing address	19845 Lillehei Ave, Hastings, MN 55033-9354