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Organization
MINNESOTA COMMUNITY HOSPICE
Active
Organization
MINNESOTA COMMUNITY HOSPICE
Active
Other names
the lodge on highview
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNNE SUE MCGOWAN (PRESIDENT)
(952) 435-6828
Entity
Organization
Contact information
Practice address
20150 HIGHVIEW AVE, LAKEVILLE, MN 55044-6874
(952) 469-7700
Mailing address
18472 KENYON AVE, LAKEVILLE, MN 55044-6911
(952) 435-6828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
349876
MN
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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