Organization
SOUTHERN HOME ASSISTED LIVING,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN CECILE STOE RN (PRESIDENT)
(850) 263-7999
Entity
Organization
Contact information
Practice address
3854 HIGHWAY 2, GRACEVILLE, FL 32440-7406
(850) 263-7999
(850) 263-6555
Mailing address
3854 HWY 2, GRACEVILLE, FL 32440
(850) 263-7999
(850) 263-6555
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
AL10417
FL
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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