Provider Demographics
NPI:1982353157
Name:ALNAS LODGE LLC
Entity Type:Organization
Organization Name:ALNAS LODGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALADE
Authorized Official - Middle Name:LATEEF
Authorized Official - Last Name:HAMZA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:763-477-8151
Mailing Address - Street 1:2521 EDINBROOK TER
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3739
Mailing Address - Country:US
Mailing Address - Phone:763-477-8151
Mailing Address - Fax:
Practice Address - Street 1:2521 EDINBROOK TER
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-3739
Practice Address - Country:US
Practice Address - Phone:763-477-8151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-23
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances