Provider Demographics
NPI:1376185959
Name:2CARE4U SOUTH, LLC
Entity Type:Organization
Organization Name:2CARE4U SOUTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WAHLSTROM-MCALISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-693-0545
Mailing Address - Street 1:6001 EGAN DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SAVAGE
Mailing Address - State:MN
Mailing Address - Zip Code:55378-4915
Mailing Address - Country:US
Mailing Address - Phone:952-693-0545
Mailing Address - Fax:952-693-0264
Practice Address - Street 1:6001 EGAN DR STE 150
Practice Address - Street 2:
Practice Address - City:SAVAGE
Practice Address - State:MN
Practice Address - Zip Code:55378-4915
Practice Address - Country:US
Practice Address - Phone:952-693-0545
Practice Address - Fax:952-693-0264
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:2CARE4U LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-15
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No252Y00000XAgenciesEarly Intervention Provider Agency