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1194078097
HOSANNA SENIOR LIVING LLC
LAKEVILLE, MN
NPI
1194078097
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Entity Type
Organization
Authorized Contact
KELLI THOMAS
Executive Director
952-435-7199
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2012-10-17
Last Update Date
2012-10-17
Business Address
HOSANNA SENIOR LIVING LLC
9850 163RD STREET W
LAKEVILLE, MN 55044
Phone number: 952-435-7199
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Mailing Address
HOSANNA SENIOR LIVING LLC
9850 163RD STREET W
LAKEVILLE, MN 55044
Phone number: 952-435-7199
Copy