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Organization

SOUTHERNCARE, INC.

Active
Other names
Gentiva II
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JANET COMBS (VP OF LICENSURE)
(704) 664-2876
Entity
Organization

Contact information

Practice address
420 NEFF AVENUE, SUITE 110, HARRISONBURG, VA 22801-5435
(540) 801-0406
(540) 801-0409
Mailing address
PO BOX 4060, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 664-1306

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSP14139
VA
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033151550
VA
Enumeration date
06/11/2006
Last updated
01/17/2023
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