# SOUTHERN UNIVERSAL HEALTH SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Universal Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114659695
- **Authorized official:** TENEILLE S WHITE (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (407) 718-7711

## Contact information

- **Practice address:** 20681 NW 17TH AVE APT 203, MIAMI GARDENS, FL 33056-5036
- **Practice address phone:** (407) 718-7711
- **Mailing address:** 20681 NW 17TH AVE APT 203, MIAMI GARDENS, FL 33056-5036
- **Mailing address phone:** (407) 718-7711

## Taxonomy

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

## Other

- **Enumeration date:** 06/24/2022
- **Last updated:** 04/12/2023