| Provide Care, Inc. | |
|
4722 Isanti Trl North Branch MN 55056-5420 | |
| (651) 674-8312 | |
| (651) 674-8299 |
| Full Name | Provide Care, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 4722 Isanti Trl, North Branch, Minnesota |
| Authorized Official Name and Position | Susan Kay Rod (COMPTROLLER) |
| Authorized Official Contact | 6516748312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Provide Care, Inc. Po Box 538 North Branch MN 55056-0538 Ph: (651) 674-8312 | Provide Care, Inc. 4722 Isanti Trl North Branch MN 55056-5420 Ph: (651) 674-8312 |
| NPI Number | 1669549887 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 04/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669549887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 045822800 (Minnesota) | Primary |
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