# TRISOUTH HEALTH SERVICES INC

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

## Provider details

- **NPI number:** 1063696623
- **Authorized official:** VERONICA SOUTHERLAND RN,BSW (AGENCY SUPERVISOR)
- **Authorized official phone:** (704) 369-4533

## Contact information

- **Practice address:** 1435 AUGUSTA RD, SUITE B, GREENVILLE, SC 29605-4027
- **Practice address phone:** (704) 369-4533
- **Mailing address:** PO BOX 242036, CHARLOTTE, NC 28224-2036
- **Mailing address phone:** (704) 369-4533

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2007
- **Last updated:** 12/19/2007