Organization
SOUTHERN CARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SMITH RN (ADMINISTRATOR)
(812) 457-1738
Entity
Organization
Contact information
Practice address
190 INDEPENDENCE DR, ROEBUCK, SC 29376-3335
(812) 457-1738
Mailing address
933 PINE LOG RD # 1068, AIKEN, SC 29803-7330
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
02/06/2024
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