Provider Demographics
NPI:1659914943
Name:PRLFC CARE,LLC
Entity Type:Organization
Organization Name:PRLFC CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAUD
Authorized Official - Middle Name:
Authorized Official - Last Name:GABEYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-855-2495
Mailing Address - Street 1:3049 BASSWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55340-8806
Mailing Address - Country:US
Mailing Address - Phone:952-855-2495
Mailing Address - Fax:
Practice Address - Street 1:3049 BASSWOOD RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:MN
Practice Address - Zip Code:55340-8806
Practice Address - Country:US
Practice Address - Phone:952-855-2495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-20
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health