Organization
HEARTHSTONE CARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER FRY (OWNER)
(614) 560-9636
Entity
Organization
Contact information
Practice address
441 ARROWHEAD LN UNIT B, MOOSE LAKE, MN 55767-7702
(614) 560-9636
Mailing address
PO BOX 853, MOOSE LAKE, MN 55767-0853
(218) 565-7565
(218) 228-5450
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
11/04/2022
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