Organization
METRO PCA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUA LOR (CLINIC MANAGER)
(651) 647-0647
Entity
Organization
Contact information
Practice address
345 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2091
(651) 647-0647
(651) 647-1075
Mailing address
345 UNIVERSITY AVE W, SAINT PAUL, MN 55103-2016
(651) 647-0647
(651) 647-1075
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1022449-2-AFC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270460900
—
MN
05
—
408948100
—
MN
05
—
727622200
—
MN
Enumeration date
09/28/2006
Last updated
05/06/2026
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