Organization
OUR LADY OF PEACE
Active
Other names
Our Lady of Peace Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH STANISLAV (CEO)
(651) 789-5031
Entity
Organization
Contact information
Practice address
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
(651) 789-5031
Mailing address
2076 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-4543
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
375345
MN
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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