# SOUTHERN CARE PROVIDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003536814
- **Authorized official:** TARA SMITH RN (ADMINISTRATOR)
- **Authorized official phone:** (812) 457-1738

## Contact information

- **Practice address:** 190 INDEPENDENCE DR, ROEBUCK, SC 29376-3335
- **Practice address phone:** (812) 457-1738
- **Mailing address:** 933 PINE LOG RD \# 1068, AIKEN, SC 29803-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2022
- **Last updated:** 02/06/2024