| NPI | 1093819708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEANN JOLENE DICKE Director 320-234-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MN 333224) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |