# SOUTHERN HOME RESPIRATORY OF FL

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

## Provider details

- **NPI number:** 1578587317
- **Authorized official:** MRS. GLENDA J HOWARD (CO OWNER SECRETARY TREASURER)
- **Authorized official phone:** (850) 263-3800

## Contact information

- **Practice address:** 5426 CLIFFF ST, GRACEVILLE, FL 32440-1734
- **Practice address phone:** (850) 263-3800
- **Practice address fax:** (850) 263-5600
- **Mailing address:** 5426 CLIFFF ST, GRACEVILLE, FL 32440-1734
- **Mailing address phone:** (850) 263-3800
- **Mailing address fax:** (850) 263-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1312609 | FL | Yes |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 10/25/2007