Organization
PROVIDE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN ROD (PRESIDENT)
(651) 674-8312
Entity
Organization
Contact information
Practice address
5842 OLD MAIN ST, SUITE 1, NORTH BRANCH, MN 55056-6687
(651) 674-8312
(651) 674-8299
Mailing address
PO BOX 416, NORTH BRANCH, MN 55056-0416
(651) 674-8312
(651) 674-8299
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
MN
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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