Organization
SOUTHERN HOME CARE SERVICES
Active
Other names
All Ways Caring HomeCare
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MANAGER-PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization
Contact information
Practice address
111 PELHAM COMMONS BLVD, GREENVILLE, SC 29615-4974
(864) 235-5141
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-5186
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXG040
—
SC
Enumeration date
03/27/2007
Last updated
03/04/2020
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