Organization
GRACE HAVEN SOBER LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEG KINDA (CONTRACTOR)
(612) 306-8499
Entity
Organization
Contact information
Practice address
1940 REANEY AVE E, SAINT PAUL, MN 55119-3917
(763) 415-6301
Mailing address
1772 PONDEROSA LN, NEW RICHMOND, WI 54017-6626
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up