Provider Demographics
NPI:1609656537
Name:FAMILY HEARING SOLUTIONS RIDGE SQUARE LLC
Entity Type:Organization
Organization Name:FAMILY HEARING SOLUTIONS RIDGE SQUARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PABLO
Authorized Official - Middle Name:
Authorized Official - Last Name:HOYOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-363-9595
Mailing Address - Street 1:315 PARKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55416-3430
Mailing Address - Country:US
Mailing Address - Phone:612-363-9595
Mailing Address - Fax:
Practice Address - Street 1:13003 RIDGEDALE DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-1807
Practice Address - Country:US
Practice Address - Phone:612-363-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty