Organization
GUARDIAN HOSPICE MN LLC
Active
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
Update your record
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