Organization
MARY T HOSPICE
Active
Parent organization
MARY T. ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARY T. ASSOCIATES
Authorized official
MS. MARY T TJOSVOLD (PRESIDENT AND STOCKHOLDER)
(763) 754-2505
Entity
Organization
Contact information
Practice address
1555 118TH LN NW, COON RAPIDS, MN 55448-7579
(763) 754-2505
(763) 862-5472
Mailing address
1555 118TH LN NW, COON RAPIDS, MN 55448-7579
(763) 754-2505
(763) 755-3631
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
342612
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342612
HOSPICE, STATE LICENSE
MN
Enumeration date
12/23/2008
Last updated
12/23/2008
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