Organization
SOUTHERN CARE AND COMFORT IN HOME AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILSON (OWNER/MEMBER)
(573) 686-2273
Entity
Organization
Contact information
Practice address
225 PHYSICIANS PARK, SUITE 301, POPLAR BLUFF, MO 63901-3935
(573) 686-2273
(573) 686-4663
Mailing address
225 PHYSICIANS PARK, SUITE 301, POPLAR BLUFF, MO 63901-3935
(573) 686-2273
(573) 686-4663
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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