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Organization
SOUTHERN HOME HEALTH AT KWCC INC
Active
Organization
SOUTHERN HOME HEALTH AT KWCC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA A CARON (CORPORATE BILLING DIRECTOR)
(561) 333-1372
Entity
Organization
Contact information
Practice address
5860 COLLEGE RD, KEY WEST, FL 33040-4314
(305) 296-2450
(305) 296-9197
Mailing address
5860 COLLEGE RD, KEY WEST, FL 33040-4314
(305) 296-2450
(305) 296-9197
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
02/06/2007
Last updated
08/22/2020
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