- Enrollment id
- O20181029001582
- Enrollment state
- MN
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1831649961
- Multiple npi flag
- N
- Ccn
- 241605
- Associate id
- 3476815382
- Organization name
- CROWN CAPITAL STRATEGIES, LLC
- Doing business as name
- INTERIM HEALTHCARE OF ROCHESTER
- Incorporation date
- 2016-08-05
- Incorporation state
- MN
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 2222 18TH AVE NW
- Address line 2
- STE 210
- City
- ROCHESTER
- State
- MN
- Zip code
- 559017724