Healthcare Provider Details

I. General information

NPI: 1376185959
Provider Name (Legal Business Name): 2CARE4U SOUTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2019
Last Update Date: 07/11/2022
Certification Date: 07/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6001 EGAN DR STE 150
SAVAGE MN
55378-4915
US

IV. Provider business mailing address

6001 EGAN DR STE 150
SAVAGE MN
55378-4915
US

V. Phone/Fax

Practice location:
  • Phone: 952-693-0545
  • Fax: 952-693-0264
Mailing address:
  • Phone: 952-693-0545
  • Fax: 952-693-0264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY J WAHLSTROM-MCALISTER
Title or Position: VICE PRESIDENT
Credential:
Phone: 952-693-0545