Provide Care, Inc.
NPI #1669549887 in North Branch, Minnesota
Provider Information
- NPI Number
- 1669549887
- Entity Type
- Organization
- Organization Name
- Provide Care, Inc.
- Primary Specialty
- Social Worker
- Enumeration Date
- Nov 30, 2006
- Last Updated
- Apr 11, 2018
Practice Location
- Address
- 4722 ISANTI TRL
- City
- North Branch
- State
- Minnesota
- ZIP Code
- 55056-5420
- Phone
- (651) 674-8312
Authorized Official
- Name
- SUSAN KAY ROD
- Title
- COMPTROLLER
- Phone
- (651) 674-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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| Donald Richard Peters | |
| William John Koski, LISW | |
| Mary Ellen Gramse | |
| Mary K. Jordan, LICSW |
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| East Central Counseling Center |
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