Organization
LAKELAND HOSPICE, INC.
Active
Other names
Lakeland Hospice and Home Care, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL L PELACCIO (ADMINISTRATOR)
(218) 998-1400
Entity
Organization
Contact information
Practice address
1505 PEBBLE LAKE RD, SUITE 400, FERGUS FALLS, MN 56537-3858
(218) 998-1400
(218) 998-1420
Mailing address
1505 PEBBLE LAKE RD, SUITE 400, FERGUS FALLS, MN 56537-3858
(218) 998-1400
(218) 998-1420
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
333772
MN
251G00000X
Community Based Hospice Care Agency
Primary
333817
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z97LA
HOSPICE BCBS
MN
01
—
50-25406
HOSPICE MEDICA
MN
01
—
59-00133
HOME CARE MEDICA
MN
01
—
6J75LA
HOME CARE BCBS
MN
05
—
737565400
—
MN
05
—
777223800
—
MN
Enumeration date
05/31/2005
Last updated
03/06/2009
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