Organization
PARTNERS IN COMMUNITY SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGID PETERSON (CHIEF COMPLIANCE OFFICER)
(651) 310-9451
Entity
Organization
Contact information
Practice address
1605 EUSTIS ST, SAINT PAUL, MN 55108-1219
(651) 967-5060
(651) 967-5061
Mailing address
1605 EUSTIS ST, SAINT PAUL, MN 55108-1219
(651) 967-5060
(651) 967-5061
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4927110
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705719900
—
MN
05
—
705719901
—
MN
Enumeration date
05/16/2008
Last updated
03/13/2017
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