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Organization

SOUTHERN LIVING HOME CARE AGENCY

Active
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Organization

SOUTHERN LIVING HOME CARE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL THAD WHITEHEAD (CEO)
(910) 654-3752
Entity
Organization

Contact information

Practice address
506 JOE BROWN HWY N, CHADBOURN, NC 28431-7203
(910) 654-3752
(910) 654-4581
Mailing address
PO BOX 314, CHADBOURN, NC 28431-0314
(910) 654-3752
(910) 654-4581

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC2982
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408343
—
NC
Enumeration date
02/16/2007
Last updated
08/22/2020
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