# SOUTHERN HOME CARE ASSISTANCE

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

## Provider details

- **NPI number:** 1114390861
- **Authorized official:** STACEY R PHILYAW (OFFICE MANAGER)
- **Authorized official phone:** (501) 525-8886

## Contact information

- **Practice address:** 2836 MALVERN AVE STE G, HOT SPRINGS, AR 71901-8363
- **Practice address phone:** (501) 525-8886
- **Mailing address:** 2836 MALVERN AVE STE G, HOT SPRINGS, AR 71901-8363
- **Mailing address phone:** (501) 525-8886

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2015
- **Last updated:** 11/03/2015