Organization
STCH FARIBAULT OPCO LLC
Active
Other names
St Croix Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN PHENNEGER (CFO)
(651) 796-2022
Entity
Organization
Contact information
Practice address
412 CENTRAL AVE N, FARIBAULT, MN 55021-5217
(651) 735-0155
Mailing address
412 CENTRAL AVE N, FARIBAULT, MN 55021-5217
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/11/2024
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