Organization
SOUTHERN CARE PROVIDERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SMITH RN (ADMINISTRATOR)
(812) 457-1738
Entity
Organization
Contact information
Practice address
187 HILLMAN ST, WARRENVILLE, SC 29851-3148
(812) 457-1738
Mailing address
187 HILLMAN ST, WARRENVILLE, SC 29851-3148
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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