Organization
AUGUSTANA MOUNT OLIVET HOSPICE CARE LLC
Active
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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