Organization
STCH MOLINE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PHENNEGER (CFO)
(715) 781-0192
Entity
Organization
Contact information
Practice address
1000 36TH AVE STE 102, MOLINE, IL 61265-7141
(651) 328-6934
Mailing address
1000 36TH AVE STE 102, MOLINE, IL 61265-7141
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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