Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET S PEMBERTON (VICE PRESIDENT)
(502) 394-2100
Entity
Organization
Contact information
Practice address
3309 BROOKS ST STE B, MISSOULA, MT 59801-8249
(406) 251-9333
Mailing address
805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY 40222-7102
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294970
—
MT
Enumeration date
05/03/2011
Last updated
03/18/2026
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