Organization
DW HEARTHSTONE HOLDINGS, LLC
Active
Other names
Benedictine Home Health Duluth
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA LAUREL SZUMOWSKI DAHL (COMMUNITY HEALTH DIRECTOR)
(218) 625-2307
Entity
Organization
Contact information
Practice address
935 N KENWOOD AVENUE, DULUTH, MN 55811
(218) 740-4290
(218) 279-4412
Mailing address
935 KENWOOD AVE, DULUTH, MN 55811-4951
(218) 740-4290
(218) 279-4412
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
367084
MN
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
248109
CMS CERTIFICATION NUMBER
MN
Enumeration date
07/21/2009
Last updated
09/20/2022
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