| Organization Name: | TRINITY HOSPICE OF MINNESOTA, LLC |
| NPI Number: | 1306038831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY GLASSCOCK (A/R MANAGER) |
| Mailing Address: | 1270 Northland Dr Suite 155 Mendota Heights |
| State: | MN US |
| Postal Code: | 551201156 |
| Phone Number: | 6519946740 |
| Fax Number: | 6519944326 |
| NPI Enumeration Date: | 08/17/2007 |
| NPI Last Update Date: | 08/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |