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Organization

STCH EASTERN MO 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
3619 RICHARDSON SQUARE DR STE 140, ARNOLD, MO 63010-6014
(651) 328-6934
Mailing address
3619 RICHARDSON SQUARE DR STE 140, ARNOLD, MO 63010-6014

Taxonomy

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

Other

Enumeration date
10/17/2024
Last updated
10/17/2024
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