| NPI | 1598751869 |
|---|---|
| Doing Business As | OUR LADY OF PEACE HOME CARE |
| Entity Type | Organization |
| Authorized Contact | JOE STANISLAV CEO/Administrator 651-789-5031 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse, Home Health |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: MN 248088) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2017-01-10 |