Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (DIRECTOR PROVIDER ENROLLMENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
101 E CRAWFORD ST STE 300, DALTON, GA 30720-3208
(762) 283-8323
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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