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Organization

SOUTHERN MADE HOME CARE

Active
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Organization

SOUTHERN MADE HOME CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXIS ZEPHIR (DIRECTOR)
(757) 490-2986
Entity
Organization

Contact information

Practice address
372 S INDEPENDENCE BLVD STE 106, VIRGINIA BEACH, VA 23452-1000
(757) 490-2986
(757) 490-5401
Mailing address
372 S INDEPENDENCE BLVD STE 106, VIRGINIA BEACH, VA 23452-1000
(757) 490-2986
(757) 490-5401

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL

Other

Enumeration date
05/15/2022
Last updated
06/17/2022
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