NPI 1952181935

Palliative Providers, PA

Organisation Community Based Hospice Care Agency White Bear Lake, MN

Practice location

Address: 4707 Highway 61 N STE 116, White Bear Lake, MN 55110-3227
Phone: (651) 247-4727

Authorised official

Name: Thomas V Soukup
Title: Physician
Phone: (651) 247-4727

Registered specialties

Community Based Hospice Care Agency Primary

Agencies Taxonomy 251G00000X

Other Hospice Care, Community Based providers in Minnesota →

Registry record

NPI: 1952181935
Entity type: Organization
NPI issued: 5 Oct 2023
Record last updated: 5 Oct 2023

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.