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
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