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Organization
SOUTHERN HOSPITALITY HOME SUPPORT CARE
Active
Organization
SOUTHERN HOSPITALITY HOME SUPPORT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIE P. CROWE RN (DIRECTOR)
(910) 485-8003
Entity
Organization
Contact information
Practice address
2310 SOUTHERN AVE, FAYETTEVILLE, NC 28306-2260
(910) 485-8003
(910) 485-8140
Mailing address
PO BOX 64526, FAYETTEVILLE, NC 28306-0526
(910) 485-8003
(910) 485-8140
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408513
—
NC
05
—
6600239
—
NC
Enumeration date
11/22/2006
Last updated
08/22/2020
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