Organization
UNITED CARE SERVICES
Active
Other names
UNITED CARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
PANGDA OLIVIA LEE (PRESIDENT)
(651) 334-5427
Entity
Organization
Contact information
Practice address
1310 HIGHWAY 96 EAST, SUITE 204A, WHITE BEAR LAKE, MN 55110-3619
(651) 334-5427
(651) 305-4086
Mailing address
1310 HIGHWAY 96 EAST, SUITE 204A, WHITE BEAR LAKE, MN 55110-3619
(651) 334-5427
(651) 305-4086
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
251V00000X
Voluntary or Charitable Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/25/2020
Last updated
01/15/2025
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