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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACEFUL LODGE, LLC

Active Organization

GRACEFUL LODGE, LLC is a Home Health organization located in BROOKLYN CENTER, Minnesota. NPI 1629616289 is currently active in the NPPES registry. Verify at CMS.

Home Health · BROOKLYN CENTER, MN

Registration Details

NPI Number
1629616289
Provider Type
Organization
NPI Issued
Dec 13, 2019 (6.6950156106231 yrs)
Last Updated
Dec 15, 2019

Practice Information

Address
6430 JUNE AVE N
BROOKLYN CENTER, MN, 554292127
Browse MN providers · Browse ZIP 55429
Phone
7634969056
Primary Specialty
Home Health
251E00000X

Other Home Health Organizations in BROOKLYN CENTER, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.