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Organization

STCH SOUTH CENTRAL MN 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
1400 MADISON AVE STE 324A, MANKATO, MN 56001-6077
(507) 594-2618
Mailing address
7755 3RD ST N STE 200, OAKDALE, MN 55128-5461
(651) 328-6934

Taxonomy

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

Other

Enumeration date
01/02/2025
Last updated
01/02/2025
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