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Organization
SOUTHERLAND CONSULTING GROUP SERVICES, INC
Active
Organization
SOUTHERLAND CONSULTING GROUP SERVICES, INC
Active
Other names
United Alliance Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY MAURICE SOUTHERLAND (PRESIDENT)
(910) 978-9118
Entity
Organization
Contact information
Practice address
111 W ELWOOD AVE, RAEFORD, NC 28376-2801
(910) 978-9118
(910) 641-0001
Mailing address
PO BOX 417, RAEFORD, NC 28376-0417
(910) 978-9118
(910) 641-0001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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