NPI 1356231765

Grace Haven Sober Living LLC

Organisation Lodging Provider Saint Paul, MN

Practice location

Address: 1940 Reaney Ave E, Saint Paul, MN 55119-3917
Phone: (763) 415-6301
Mailing address: 1772 Ponderosa Ln, New Richmond, WI 54017-6626

Authorised official

Name: Peg Kinda
Title: Contractor
Phone: (612) 306-8499

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X

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Registry record

NPI: 1356231765
Entity type: Organization
NPI issued: 7 Jul 2025
Record last updated: 7 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.