Organization · Type 2 NPI
Crescent Cove
Community Based Hospice Care Agency · Brooklyn Center, MN
NPI number
1780156208
Active
Practice location
4201 58th Avd N.
Brooklyn Center, MN 55429
Mailing address
3440 Beltline Blvd. Ste 207
St. Louis Park, MN 55416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | None listed |
| Community Based Hospice Care Agency Primary | 251G00000X | None listed |
| Child Physical Disabilities Respite Care | 385HR2065X | None listed |
Community Based Hospice Care Agency: Definition to come...
About NPI 1780156208
Crescent Cove's National Provider Identifier is 1780156208, issued on Dec 21, 2018. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Brooklyn Center, MN. The record was last updated on Jan 9, 2019.