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Organization
SOUTHERN HOME CARE SERVICES, INC
Active
Organization
SOUTHERN HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
1200 NAVAHO DR, RALEIGH, NC 27609-7443
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601773
—
NC
Enumeration date
04/29/2009
Last updated
04/29/2009
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