# SOUTH METRO CARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083891097
- **Authorized official:** MR. EVANS MORONGE MOGAKA (ADMINISTRATOR)
- **Authorized official phone:** (612) 423-6619

## Contact information

- **Practice address:** 17873 FLORAL PARK CIR, LAKEVILLE, MN 55044-6042
- **Practice address phone:** (612) 423-6619
- **Mailing address:** 17873 FLORAL PARK CIR, LAKEVILLE, MN 55044-6042
- **Mailing address phone:** (612) 423-6619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | 338790 | MN | Yes |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/22/2008