Provider Demographics
NPI:1376147199
Name:QUIET OAKS
Entity Type:Organization
Organization Name:QUIET OAKS
Other - Org Name:QUIET OAKS HOSPICE HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:RITA
Authorized Official - Last Name:SCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-255-5433
Mailing Address - Street 1:5537 GALAXY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-9272
Mailing Address - Country:US
Mailing Address - Phone:320-255-5433
Mailing Address - Fax:320-240-7962
Practice Address - Street 1:5537 GALAXY RD
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-9272
Practice Address - Country:US
Practice Address - Phone:320-255-5433
Practice Address - Fax:320-240-7962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based