Provider Demographics
NPI:1962675231
Name:INTEGRITY PCA SERVICES INC.
Entity Type:Organization
Organization Name:INTEGRITY PCA SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARNUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-750-3387
Mailing Address - Street 1:14259 VINTAGE ST NW
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MN
Mailing Address - Zip Code:55304-3159
Mailing Address - Country:US
Mailing Address - Phone:612-750-3387
Mailing Address - Fax:763-592-7922
Practice Address - Street 1:14259 VINTAGE ST NW
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MN
Practice Address - Zip Code:55304-3159
Practice Address - Country:US
Practice Address - Phone:612-750-3387
Practice Address - Fax:763-592-7922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health