NPI 1194078097

Hosanna Senior Living LLC

Organisation Preferred Provider Organization Lakeville, MN

Practice location

Address: 9850 163rd Street W, Lakeville, MN 55044
Phone: (952) 435-7199
Fax: (952) 435-7198

Authorised official

Name: Kelli Thomas
Title: Executive Director
Phone: (952) 435-7199

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1194078097
Entity type: Organization
NPI issued: 17 Oct 2012
Record last updated: 17 Oct 2012

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.