Organization
GUARDIAN HOSPICE MN LLC
Active
Other names
Moments Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIYAHU JAFFA (PRESIDENT)
(715) 800-0908
Entity
Organization
Contact information
Practice address
820 LILAC DR N, GOLDEN VALLEY, MN 55422-4700
(763) 205-3600
Mailing address
820 LILAC DR N, GOLDEN VALLEY, MN 55422-4700
(763) 205-3600
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
32588
MN
251G00000X
Community Based Hospice Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32588
STATE LICENSE
MN
Enumeration date
08/11/2016
Last updated
09/21/2023
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