Organization
SENIORS CARE SERVICES LLC
Active
Organization
SENIORS CARE SERVICES LLC
Active
Other names
Tonka Medical Association, LLC, Population Health Management, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON R KENTON PHD (CEO)
(612) 242-9517
Entity
Organization
Contact information
Practice address
4142 SHORELINE DR, SPRING PARK, MN 55384-9629
(800) 753-9972
Mailing address
4008 SHORELINE DR, SPRING PARK, MN 55384-9656
(612) 242-9517
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/05/2014
Last updated
01/28/2021
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