Organization
PROVIDE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KAY ROD (COMPTROLLER)
(651) 674-8312
Entity
Organization
Contact information
Practice address
4722 ISANTI TRL, NORTH BRANCH, MN 55056-5420
(651) 674-8312
(651) 674-8299
Mailing address
PO BOX 538, NORTH BRANCH, MN 55056-0538
(651) 674-8312
(651) 674-8299
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
045822800
MN
Other
Enumeration date
11/30/2006
Last updated
04/11/2018
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