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Organization

SEASONS HOSPICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY ANN HAYNES RN, BSN (EXECUTIVE DIRECTOR)
(507) 285-1930
Entity
Organization

Contact information

Practice address
1696 GREENVIEW DR SW, ROCHESTER, MN 55902-1363
(507) 285-1930
(507) 282-2737
Mailing address
1696 GREENVIEW DR SW, ROCHESTER, MN 55902-1363
(507) 285-1930
(507) 282-2737

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HFID 03427
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3Z25SE
BC/BS PROVIDER NUMBER
MN
05
883344300
MN
Enumeration date
07/05/2005
Last updated
03/17/2014
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