Organization
SUITE LIVING HOSPICE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIEZ (ADMINISTRATOR)
(651) 467-7423
Entity
Organization
Contact information
Practice address
1824 BUERKLE RD, WHITE BEAR LAKE, MN 55110-5245
(651) 770-2273
Mailing address
1824 BUERKLE RD, WHITE BEAR LAKE, MN 55110-5245
(651) 770-2273
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
01/19/2022
Last updated
05/31/2022
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