| NPI | 1407962335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY D BURRIS Administrator/CEO 507-825-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MN 330931) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: MN 330931) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-06-24 |