Organization
MINNESOTA HOSPICE LLC
Active
Organization
MINNESOTA HOSPICE LLC
Active
Other names
Hospice Advantage, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HAGLIND (PRESIDENT)
(952) 898-1022
Entity
Organization
Contact information
Practice address
17645 JUNIPER PATH, SUITE 155, LAKEVILLE, MN 55044-7490
(952) 898-1022
(952) 898-4006
Mailing address
17645 JUNIPER PATH, SUITE 155, LAKEVILLE, MN 55044-7577
(952) 898-1022
(952) 898-4006
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
355830
MN
251G00000X
Community Based Hospice Care Agency
Primary
379554
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131614
—
MN
Enumeration date
01/17/2012
Last updated
08/23/2017
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