MEDICARE: PREFERRED NURSING SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MN

General Provider Information

NPI Number	:	1487827747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED NURSING SERVICES INC

Provider Business Mailing Address
First Line	:	7111 W BROADWAY AVE
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428-1692
Country	:	US
Telephone Number	:	763-503-0134
Fax Number	:	763-503-2430

Provider Business Practice Location Address
First Line	:	7111 W BROADWAY AVE
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55428-1692
Country	:	US
Telephone Number	:	763-503-0134
Fax Number	:	763-503-2430

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	MS. MARGARET TETEE DORPOH
Credential	:
Telephone Number	:	651-638-9126

Provider Enumeration Date	:	04/08/2008
Last Update Date	:	04/08/2008

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