Organization
OUR LADY OF PEACE
Active
Other names
Our Lady of Peace Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY THORNE (CEO/ADMINISTRATOR)
(651) 789-5031
Entity
Organization
Contact information
Practice address
2076 ST ANTHONY AVE, ST PAUL, MN 55104-5028
(651) 789-5030
(651) 789-0078
Mailing address
2076 ST ANTHONY AVE, ST PAUL, MN 55104-5028
(651) 789-5030
(651) 789-0078
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
241573
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150043101
—
MN
Enumeration date
09/28/2005
Last updated
03/04/2025
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