Organization
SOUTHERN CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SERNEKA A. STEVENSON RN (ADMINISTRATOR)
(504) 362-0376
Entity
Organization
Contact information
Practice address
905 MONROE ST, GRETNA, LA 70053-2215
(504) 362-0376
(504) 365-0878
Mailing address
905 MONROE ST, GRETNA, LA 70053-2215
(504) 362-0376
(504) 365-0878
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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