Organization
SOUTH METRO CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVANS MORONGE MOGAKA (ADMINISTRATOR)
(612) 423-6619
Entity
Organization
Contact information
Practice address
17873 FLORAL PARK CIR, LAKEVILLE, MN 55044-6042
(612) 423-6619
Mailing address
17873 FLORAL PARK CIR, LAKEVILLE, MN 55044-6042
(612) 423-6619
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
338790
MN
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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