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Organization

STCH DE PERE WI OPCO LLC

Active
Other names
St Croix Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN PHENNEGER (CFO AND PRESIDENT)
(612) 544-6133
Entity
Organization

Contact information

Practice address
420 S WASHINGTON ST STE A, GREEN BAY, WI 54301-4217
(920) 305-7900
Mailing address
1175 CENTRE POINTE CIR, MENDOTA HEIGHTS, MN 55120-5500
(651) 328-6934

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
09/28/2022
Last updated
05/27/2026
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