Healthcare Provider Details

I. General information

NPI: 1972052702
Provider Name (Legal Business Name): MARIE-NOEL HIOL-HIOL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 SUNFISH LAKE BLVD NW STE C
RAMSEY MN
55303-4612
US

IV. Provider business mailing address

14642 QUARTZ TER NW
RAMSEY MN
55303-4581
US

V. Phone/Fax

Practice location:
  • Phone: 651-280-7702
  • Fax:
Mailing address:
  • Phone: 763-444-1683
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: