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Organization
SOUTHERN HOMECARE, INC
Active
Organization
SOUTHERN HOMECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAEL SALCIDO LVN (CEO, ALTERNATE ADMINISTRATOR)
(915) 857-8573
Entity
Organization
Contact information
Practice address
11500 PELLICANO DR, UNIT B10, EL PASO, TX 79936
(915) 857-8573
(915) 591-3932
Mailing address
11500 PELLICANO DR, UNIT B10, EL PASO, TX 79936
(915) 857-8573
(915) 591-3932
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010908
TX
251E00000X
Home Health Agency
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Other
Enumeration date
09/03/2006
Last updated
01/31/2025
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