Organization
SOUTHERN CARE SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY WAYNE FOSTER (PRESIDE T)
(763) 957-0099
Entity
Organization
Contact information
Practice address
2738 WINNETKA AVE N, SUITE #150Q, NEW HOPE, MN 55427-2850
(763) 957-0099
(952) 217-4513
Mailing address
2738 WINNETKA AVE N, SUITE #150Q, NEW HOPE, MN 55427-2850
(763) 957-0099
(952) 217-4513
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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