Organization
PATIENT CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON R RICHARDSON (PRESIDENT)
(601) 842-7380
Entity
Organization
Contact information
Practice address
8601 73RD AVE N, SUITE 16, BROOKLYN PARK, MN 55428-1507
(763) 535-0118
(763) 536-0932
Mailing address
7100 NORTHLAND CIR N, SUITE 410, BROOKLYN PARK, MN 55428-1548
(763) 535-0118
(763) 536-0932
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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