# PATIENCE IN-HOME CARE PCA SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619613551
- **Authorized official:** MRS. PATIENCE KWEWORKWA NIXON RN (CEO)
- **Authorized official phone:** (763) 528-1285

## Contact information

- **Practice address:** 2705 BUNKER LAKE BLVD NW STE 105, ANDOVER, MN 55304-3785
- **Practice address phone:** (763) 432-5459
- **Practice address fax:** (612) 464-0770
- **Mailing address:** 2705 BUNKER LAKE BLVD NW STE 105, ANDOVER, MN 55304-3785
- **Mailing address phone:** (763) 432-5459
- **Mailing address fax:** (612) 464-0770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2022
- **Last updated:** 08/15/2024