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Organization

OUR LADY OF PEACE

Active
Other names
Our Lady of Peace Home Care
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY THORNE (CEO/ADMINISTRATOR)
(651) 789-5031
Entity
Organization

Contact information

Practice address
2076 ST ANTHONY AVE, ST PAUL, MN 55104-5028
(651) 789-5030
(651) 789-0078
Mailing address
2076 ST ANTHONY AVE, ST PAUL, MN 55104-5028
(651) 789-5030
(651) 789-0078

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
248088
MN

Other

Enumeration date
09/22/2005
Last updated
03/04/2025
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