institution
Mary T Hospice
Community Based Hospice Care Agency in Coon Rapids, Minnesota
NPI 1629214515

Mary T Hospice is a Community Based Hospice Care Agency based in Coon Rapids, MN. Mary T Hospice practices in Coon Rapids, MN. The NPI Number for Mary T Hospice is 1629214515 and holds a License No. 342612 (Minnesota).

The current practice location address for Mary T Hospice is 1555 118Th Ln Nw, Coon Rapids, MN and can be reached out via phone at 763-754-2505 and via fax at 763-862-5472.

Location: 1555 118Th Ln Nw, Coon Rapids, MN, 55448-7579
institution
Provider Profile Details
NPI Number
1629214515
Provider Name
Mary T Hospice
Credential
Provider Entity Type
Organization
Address
1555 118Th Ln Nw, Coon Rapids, MN, 55448-7579
Phone Number
763-754-2505
Fax Number
763-862-5472
Provider Enumeration Date
12/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
342612 01 MN HOSPICE, STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1555 118Th Ln Nw
City
State
Zip
55448-7579
Phone Number
763-754-2505
Fax Number
763-862-5472
person
Provider Business Mailing Address Details
Address
1555 118Th Ln Nw
City
State
Zip
55448-7579
Phone Number
763-754-2505
Fax Number
763-862-5472
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
342612 (Minnesota)
Definition
Definition to come...
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