Organization
LSS HOME HEALTH AND HOSPICE, LLC
Active
Other names
Legacy Home Health and Hospice Services of Wadena
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC R. LUNDE (PRESIDENT)
(218) 631-1391
Entity
Organization
Contact information
Practice address
201 SHADY LANE DR, WADENA, MN 56482-3093
(218) 632-1335
(218) 632-1336
Mailing address
201 SHADY LANE DR, WADENA, MN 56482-3093
(218) 632-1335
(218) 632-1336
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
357793
MN
251G00000X
Community Based Hospice Care Agency
Primary
357794
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291990700
—
MN
Enumeration date
09/15/2005
Last updated
10/17/2012
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