Stch Moose Lake Opco LLC
NPI #1982463139 in Moose Lake, Minnesota
Provider Information
- NPI Number
- 1982463139
- Entity Type
- Organization
- Organization Name
- Stch Moose Lake Opco LLC
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Mar 18, 2024
- Last Updated
- Mar 18, 2024
Practice Location
- Address
- 441 ARROWHEAD LN STE 3
- City
- Moose Lake
- State
- Minnesota
- ZIP Code
- 55767-7702
- Phone
- (218) 389-7681
Authorized Official
- Name
- HEATH A BARTNESS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (651) 328-6914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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