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Organization

PRAIRIE GRACE HOSPICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD WERTH RN (ADMINISTRATOR)
(507) 720-8597
Entity
Organization

Contact information

Practice address
1028 N RIVERFRONT DR, MANKATO, MN 56001-3340
(507) 821-0430
(507) 540-1275
Mailing address
1028 N RIVERFRONT DR, MANKATO, MN 56001-3340
(507) 821-0430

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
11/08/2023
Last updated
03/13/2024
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