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Organization
SOUTHERN HOSPITALITY HOME CARE, LLC
Active
Organization
SOUTHERN HOSPITALITY HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA NICHOLSON (OWNER/ ADMINISTRATOR)
(229) 726-2349
Entity
Organization
Contact information
Practice address
100 N PATTERSON ST STE 66, VALDOSTA, GA 31601-5570
(229) 726-2349
Mailing address
100 N PATTERSON ST STE 66, VALDOSTA, GA 31601-5570
(229) 726-2349
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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