Organization
MINNESOTA COMMUNITY HOSPICE INC
Active
Parent organization
MINNESOTA COMMUNITY HOSPICE INC
Other names
The Lodge on Natchez
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA COMMUNITY HOSPICE INC
Authorized official
GERALD J. MCGOWAN (CFO)
(651) 319-1295
Entity
Organization
Contact information
Practice address
1412 SUMMIT OAKS DR, BURNSVILLE, MN 55337-4744
(952) 431-9120
(952) 431-9123
Mailing address
27890 NATCHEZ AVE, ELKO NEW MARKET, MN 55020-9462
(952) 652-9120
(952) 652-9121
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355520800
—
MN
Enumeration date
01/02/2008
Last updated
01/26/2015
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