# SOUTH COUNTY HOME HEALTH PROVIDERS

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

## Provider details

- **NPI number:** 1477853422
- **Authorized official:** MS. TINA MARIE GRIFFITH (PRESIDENT/ C.E.O.)
- **Authorized official phone:** (269) 532-3127

## Contact information

- **Practice address:** 115 N 3RD ST, VICKSBURG, MI 49097-1017
- **Practice address phone:** (269) 532-3127
- **Practice address fax:** (269) 649-4796
- **Mailing address:** 115 N 3RD ST, VICKSBURG, MI 49097-1017
- **Mailing address phone:** (269) 532-3127
- **Mailing address fax:** (269) 649-4796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AF390303489 | MI | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | AF390303489 | MI | Yes |

## Other

- **Enumeration date:** 10/25/2010
- **Last updated:** 07/01/2011