Organization
AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
1015 4TH AVE N STE 206, MINNEAPOLIS, MN 55405-1178
(612) 238-5284
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
367053
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30185
HFID
MN
01
—
367053
MN HOSPICE PROGRAM
MN
Enumeration date
04/03/2014
Last updated
06/23/2021
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