# SOUTHLAND HOME CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southland Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609199397
- **Authorized official:** STEVE GARCIA (A/R & BILLING COORDINATOR)
- **Authorized official phone:** (602) 875-5714

## Contact information

- **Practice address:** 4527 N 16TH ST STE 200, PHOENIX, AZ 85016
- **Practice address phone:** (602) 773-7300
- **Practice address fax:** (602) 773-7301
- **Mailing address:** 4527 N 16TH ST STE 200, PHOENIX, AZ 85016-5354
- **Mailing address phone:** (602) 773-7300
- **Mailing address fax:** (602) 773-7301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HHA4781 | AZ | Yes |

## Other

- **Enumeration date:** 03/09/2010
- **Last updated:** 07/12/2018