Organization
INTEGRA PCA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLGA PAPKOV (PRESIDENT)
(612) 964-0372
Entity
Organization
Contact information
Practice address
7845 BROOKLYN BLVD, SUITE 201, BROOKLYN PARK, MN 55445-2721
(763) 390-0578
Mailing address
20726 IBEX AVE, LAKEVILLE, MN 55044-5867
(612) 964-0372
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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