| Organization Name: | PATIENT CENTERED CARE LLC |
| NPI Number: | 1336323328 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RWOOF A RESHI (CEO) |
| Mailing Address: | 238 Wentworth Ave E West Saint Paul |
| State: | MN US |
| Postal Code: | 551183525 |
| Phone Number: | 6513388424 |
| Fax Number: | |
| NPI Enumeration Date: | 12/26/2007 |
| NPI Last Update Date: | 12/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 44069 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |