Provider First Line Business Practice Location Address: 
2CARE4U PATHWAYS SOUTH, LLC
    Provider Second Line Business Practice Location Address: 
6001 EGAN DR SUITE 150
    Provider Business Practice Location Address City Name: 
SAVAGE
    Provider Business Practice Location Address State Name: 
MN
    Provider Business Practice Location Address Postal Code: 
55378
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
952-693-0545
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
05/04/2022