Organization
SOUTHERN CHOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA KAY KIRKLAND (ADMINISTRATOR)
(912) 538-1328
Entity
Organization
Contact information
Practice address
127 JACKSON ST, VIDALIA, GA 30474-4715
(478) 290-7103
(912) 380-4133
Mailing address
127 JACKSON ST, VIDALIA, GA 30474-4715
(478) 290-7103
(912) 380-4133
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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