NPI 1003437021

Hsl 12, LLC

Organisation Assisted Living Facility Elm Grove, WI

Practice location

Address: 800 Wall St, Elm Grove, WI 53122-2631
Phone: (952) 351-4552
Mailing address: 1295 Northland Dr STE 270, Mendota Heights, MN 55120-1373

Authorised official

Name: Milo Pinkerton
Title: Corporate Business Office Manager
Phone: (952) 351-4552

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003437021
Entity type: Organization
NPI issued: 30 Apr 2020
Record last updated: 30 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.