Organization
SIOUXLAND NE OPCO LLC
Active
Other names
St Croix Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PHENNEGER (CFO)
(651) 796-2022
Entity
Organization
Contact information
Practice address
3220 PLAZA DR STE D, SOUTH SIOUX CITY, NE 68776-3191
(651) 328-6934
Mailing address
7755 3RD ST N STE 200, OAKDALE, MN 55128-5461
(651) 328-6934
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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