# SOUTHERN LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Living LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497563860
- **Authorized official:** ANGELA ADDAE-ABOAGYE (CEO)
- **Authorized official phone:** (706) 254-6417

## Contact information

- **Practice address:** 4466 47TH ST S APT 309, FARGO, ND 58104-4368
- **Practice address phone:** (706) 254-6417
- **Mailing address:** PO BOX 9472, FARGO, ND 58106-9472
- **Mailing address phone:** (706) 254-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2024
- **Last updated:** 12/18/2024