Organization
OUR LADY OF PEACE
Active
Parent organization
OUR LADY OF PEACE
Other names
Our Lady of Peace Palliative Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
OUR LADY OF PEACE
Authorized official
JEFFREY THORNE (CEO)
(651) 789-5031
Entity
Organization
Contact information
Practice address
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
(651) 789-5031
(651) 789-0078
Mailing address
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
(651) 789-5031
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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