# SOUTHERN HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Progressive Personal Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669703997
- **Authorized official:** DEENA OMBRES (PRIVACY OFFICER)
- **Authorized official phone:** (502) 394-2387

## Contact information

- **Practice address:** 1921 OXFORD ST, MISSOULA, MT 59801-6640
- **Practice address phone:** (907) 770-9005
- **Practice address fax:** (907) 770-7980
- **Mailing address:** 9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
- **Mailing address phone:** (800) 866-0860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251X00000X | Supports Brokerage Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 01/27/2010