Organization
SOUTHERN MINNESOTA CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME TODD REZAC LPN (OWNER/DIRECTOR)
(507) 402-0433
Entity
Organization
Contact information
Practice address
216 E MAIN ST, SUITE #1, ALBERT LEA, MN 56007-2919
(507) 373-4300
(507) 373-4304
Mailing address
216 E MAIN ST, SUITE #1, ALBERT LEA, MN 56007-2919
(507) 373-4300
(507) 373-4304
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
349468
MN
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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