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Organization
SOUTHERN ASSURED HOME HEALTH, LLC
Active
Organization
SOUTHERN ASSURED HOME HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY M WATSON CPA (CFO)
(361) 649-4192
Entity
Organization
Contact information
Practice address
640 W MAIN ST, YORKTOWN, TX 78164-5291
(210) 257-5765
(210) 257-0419
Mailing address
PO BOX 822, YORKTOWN, TX 78164-0822
(210) 257-5765
(210) 257-0419
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
012878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012878
DEPARTMENT OF AGING AND DISABILITY SERVICES
TX
Enumeration date
02/25/2010
Last updated
01/31/2025
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