IndividualActive
Faiza Hassan
NPI 1841652898 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bloomington, MN
Provider details
- NPI number
- 1841652898
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0015858 (WI)
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 0015858 (WI)
Residential Treatment Facilities
Practice location
10917 Humboldt Ave S
Bloomington, MN 55431-4221
Phone: (651) 315-2649
Approximate (ZIP-level) locationGet directions
Mailing address
10917 Humboldt Ave S
Bloomington, MN 55431-4221
Additional practice locations (2)
- 4544 Stein AveMadison, WI 53714-1732Phone: (608) 819-8460
- 4544 Stein AveMadison, WI 53714-1732Phone: (608) 819-8460
Registry dates
- Enumerated
- 2016-03-28
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.