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
MR. STEVE TRICARICO (PRESIDENT)
(870) 932-0990
Entity
Organization
Contact information
Practice address
2925 S CARAWAY RD, JONESBORO, AR 72401
(870) 932-0990
(870) 932-1124
Mailing address
2925 S CARAWAY RD, JONESBORO, AR 72401-7313
(870) 932-0990
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49852
BLUE CROSS BLUE SHIEL
AR
Enumeration date
10/26/2006
Last updated
09/27/2022
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