OrganizationActive
817 Marshall Ave
NPI 1013140805 · Nursing Care Agency · Saint Paul, MN
Provider details
- NPI number
- 1013140805
- Entity type
- Organization
- Primary specialty
- Nursing Care AgencyAgencies
- Authorized official
- Channa Pittman, Privte Duty Nurse
- License
- R171403-6 (MN)
Practice location
817 Marshall Ave
Saint Paul, MN 55104-6651
Phone: (763) 202-8808
Fax: (651) 291-2739
Mailing address
817 Marshall Ave
Saint Paul, MN 55104-6651
Registry dates
- Enumerated
- 2009-08-27
- Last updated
- 2009-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.