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Organization

IN HOME HEALTH, LLC

Active
Other names
ProMedica Hospice (St. Cloud)
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN DAVID ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization

Contact information

Practice address
1257 2ND ST N, SAUK RAPIDS, MN 56379-4595
(320) 654-1136
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-1531
(567) 585-1191

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
243657401
MN
Enumeration date
10/18/2022
Last updated
10/18/2022
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