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Henry Hagen Residence
Intellectual Disabilities Intermediate Care Facility in Hastings, Minnesota
NPI 1194901751

Henry Hagen Residence is a Intellectual Disabilities Intermediate Care Facility based in Hastings, MN. Henry Hagen Residence practices in Hastings, MN. The NPI Number for Henry Hagen Residence is 1194901751 and holds a License No. 01091 (Minnesota).

The current practice location address for Henry Hagen Residence is 19845 Lillehei Ave, Hastings, MN and can be reached out via phone at 651-437-9363 and via fax at 651-437-9363.

Location: 19845 Lillehei Ave, Hastings, MN, 55033-9354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194901751
Provider Name
Henry Hagen Residence
Credential
Provider Entity Type
Organization
Address
19845 Lillehei Ave, Hastings, MN, 55033-9354
Phone Number
651-437-9363
Fax Number
651-437-9363
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19845 Lillehei Ave
City
Hastings
State
Minnesota
Zip
55033-9354
Phone Number
651-437-9363
Fax Number
651-437-9363
person
Provider Business Mailing Address Details
Address
19845 Lillehei Ave
City
Hastings
State
Minnesota
Zip
55033-9354
Phone Number
651-437-9363
Fax Number
651-437-9363
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
01091 (Minnesota)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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