# SOUTHCARE INC- A PRIVATE HOMECARE AGENCY

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

## Provider details

- **NPI number:** 1720300544
- **Authorized official:** MR. GEORGE ECHEBELEM (OPERATING OFFICER)
- **Authorized official phone:** (404) 844-9975

## Contact information

- **Practice address:** 631 BLAKELY ST, CUTHBERT, GA 39840-5326
- **Practice address phone:** (404) 844-9975
- **Practice address fax:** (888) 687-4829
- **Mailing address:** 352 HAMILTON AVE \# 448, CUTHBERT, GA 39840-5406
- **Mailing address phone:** (404) 552-4361
- **Mailing address fax:** (229) 888-3558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 120-R-0643 | GA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/21/2010
- **Last updated:** 03/10/2023
