| Organization Name: | SOUTH METRO CARE SERVICES |
| NPI Number: | 1083891097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVANS MORONGE MOGAKA (ADMINISTRATOR) |
| Mailing Address: | 17873 Floral Park Cir Lakeville |
| State: | MN US |
| Postal Code: | 550446042 |
| Phone Number: | 6124236619 |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2008 |
| NPI Last Update Date: | 01/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WH0200X |
| License Number: | 338790 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Home Health |
| Taxonomy Definition: | |