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Organization
OUR LADY OF PEACE
Active
Organization
OUR LADY OF PEACE
Active
Other names
Our Lady of Peace Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH STANISLAV (CEO)
(651) 789-5031
Entity
Organization
Contact information
Practice address
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
(651) 789-5031
Mailing address
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
375345
MN
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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