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Organization
SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC
Active
Organization
SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILSON (OWNER/MEMBER)
(573) 686-2273
Entity
Organization
Contact information
Practice address
225 PHYSICIANS PARK, SUITE 301, POPLAR BLUFF, MO 63901-3935
(573) 686-2273
(573) 686-4663
Mailing address
225 PHYSICIANS PARK, SUITE 301, POPLAR BLUFF, MO 63901-3935
(573) 686-2273
(573) 686-4663
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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