# OUR LADY OF PEACE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Our Lady of Peace Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710352869
- **Authorized official:** JOSEPH STANISLAV (CEO)
- **Authorized official phone:** (651) 789-5031

## Contact information

- **Practice address:** 2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
- **Practice address phone:** (651) 789-5031
- **Mailing address:** 2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 315D00000X | Inpatient Hospice | 375345 | MN | Yes |

## Other

- **Enumeration date:** 12/01/2015
- **Last updated:** 12/01/2015