Organization
MINNESOTA COMMUNITY HOSPICE
Active
Other names
the lodge on highview
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYNNE SUE MCGOWAN (PRESIDENT)
(952) 435-6828
Entity
Organization
Contact information
Practice address
20150 HIGHVIEW AVE, LAKEVILLE, MN 55044-6874
(952) 469-7700
Mailing address
18472 KENYON AVE, LAKEVILLE, MN 55044-6911
(952) 435-6828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
349876
MN
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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