Organization
TRISOUTH HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA SOUTHERLAND RN,BSW (AGENCY SUPERVISOR)
(704) 369-4533
Entity
Organization
Contact information
Practice address
1435 AUGUSTA RD, SUITE B, GREENVILLE, SC 29605-4027
(704) 369-4533
Mailing address
PO BOX 242036, CHARLOTTE, NC 28224-2036
(704) 369-4533
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251E00000X
—
SC
05
—
251J00000X
—
SC
Enumeration date
12/19/2007
Last updated
12/19/2007
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