# SOUTHERN HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1275506339
- **Authorized official:** MS. JOSEPHINE CARTER (ACCOUNTS RECEIVABLE COORDINATOR)
- **Authorized official phone:** (229) 242-2797

## Contact information

- **Practice address:** 220 RICHLAND AVE W, AIKEN, SC 29801-3866
- **Practice address phone:** (803) 641-6953
- **Mailing address:** PO BOX 2797, VALDOSTA, GA 31604-2797
- **Mailing address phone:** (229) 242-2797
- **Mailing address fax:** (229) 242-2358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0611418 | SC | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 08/22/2020