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General NPI Number Information
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NPI Number | 1649087883
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Entity Type | Organization
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Legal Business Name | HERITAGE OF HOPE ASSISTED LIVING, LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 5641 BABCOCK TRL
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55077-2108
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Country | US
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Telephone | 952-451-9717
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Fax |
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Provider Business Mailing Address
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Address Line | 15856 COBBLESTONE LAKE PKWY
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City | SAINT PAUL
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State | MN
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Zip | 55124-7863
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Country | US
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Telephone | 952-451-9717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY GRESETH
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Credential | RN
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Telephone | 952-451-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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