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Graceful Lodge, Llc
Home Health Agency in Brooklyn Center, Minnesota
NPI 1629616289

Graceful Lodge, Llc is a Home Health Agency based in Brooklyn Center, MN. Graceful Lodge, Llc practices in Brooklyn Center, MN. The NPI Number for Graceful Lodge, Llc is 1629616289 and holds a License No. (Minnesota).

The current practice location address for Graceful Lodge, Llc is 6430 June Ave N, Brooklyn Center, MN and can be reached out via phone at 763-496-9056.

Location: 6430 June Ave N, Brooklyn Center, MN, 55429-3072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629616289
Provider Name
Graceful Lodge, Llc
Credential
Provider Entity Type
Organization
Address
6430 June Ave N, Brooklyn Center, MN, 55429-3072
Phone Number
763-496-9056
Fax Number
Provider Enumeration Date
12/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
394111 01 MN COMPREHENSIVE LICENSED HOME CARE SERVICE
institution
Provider Business Practice Location Address Details
Address
6430 June Ave N
City
Brooklyn Center
State
Minnesota
Zip
55429-2127
Phone Number
763-496-9056
Fax Number
person
Provider Business Mailing Address Details
Address
6430 June Ave N
City
Brooklyn Center
State
Minnesota
Zip
55429-2127
Phone Number
763-496-9056
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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