| Provide Care, Inc | |
|
5842 Old Main St Suite 1 North Branch MN 55056-6687 | |
| (651) 674-8312 | |
| (651) 674-8299 |
| Full Name | Provide Care, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5842 Old Main St, North Branch, Minnesota |
| Authorized Official Name and Position | Colleen Rod (PRESIDENT) |
| 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 416 North Branch MN 55056-0416 Ph: (651) 674-8312 | Provide Care, Inc 5842 Old Main St Suite 1 North Branch MN 55056-6687 Ph: (651) 674-8312 |
| NPI Number | 1992982250 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 01/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992982250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Minnesota) | Primary |
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