Organization
KINDERCARE PCA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEATRICE MOGUSERO MORANDE RN (DIRECTOR)
(952) 250-8624
Entity
Organization
Contact information
Practice address
270 COUNTY ROAD 110 N, MINNETRISTA, MN 55364-8316
(952) 250-8624
Mailing address
270 COUNTY ROAD 110 N, MINNETRISTA, MN 55364-8316
(952) 250-8624
Taxonomy
Speciality
Code
Description
License number
State
385HR2065X
Child Physical Disabilities Respite Care
Primary
3326341-2
MN
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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