Organization
SOUTHERLAND CONSULTING GROUP SERVICES, INC
Active
Other names
United Alliance Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDY MAURICE SOUTHERLAND (PRESIDENT)
(910) 978-9118
Entity
Organization
Contact information
Practice address
111 W ELWOOD AVE, RAEFORD, NC 28376-2801
(910) 978-9118
(910) 641-0001
Mailing address
PO BOX 417, RAEFORD, NC 28376-0417
(910) 978-9118
(910) 641-0001
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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