Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (PROVIDER ENROLLMENT MGR)
(502) 630-7425
Entity
Organization
Contact information
Practice address
105 WESTPARK DR, ATHENS, GA 30606-3174
(706) 353-6444
Mailing address
105 WESTPARK DR, ATHENS, GA 30606-3174
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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