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Organization
SOUTHERN HOME HEALTHCARE INC
Active
Organization
SOUTHERN HOME HEALTHCARE INC
Active
Parent organization
SOUTHERN HOME HEALTHCARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN HOME HEALTHCARE INC
Authorized official
STEVE TRICARICO (OWNER / MANAGER)
(870) 932-0990
Entity
Organization
Contact information
Practice address
2925 S CARAWAY RD STE B, JONESBORO, AR 72401
(870) 932-0990
(870) 932-1124
Mailing address
2925 SOUTH CARAWAY ROAD, JONESBORO, AR 72401-7313
(870) 932-0990
(870) 932-1124
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150051716
—
AR
01
—
49852
BCBS ORTHOTIC PROVIDER
AR
01
—
49854
BCBS DME PROVIDER
AR
Enumeration date
06/01/2005
Last updated
09/27/2022
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