Organization
CENACLE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TENTOW (EXECUTIVE DIRECTOR)
(515) 203-9958
Entity
Organization
Contact information
Practice address
6632 91ST ST S, COTTAGE GROVE, MN 55016-5305
(515) 203-9958
Mailing address
6632 91ST ST S, COTTAGE GROVE, MN 55016-5305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
Other
Enumeration date
04/24/2024
Last updated
12/04/2025
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