Organization
SOUTHERNCARE , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KLEBERG (VP OF LEGAL AFFAIRS)
(704) 662-0414
Entity
Organization
Contact information
Practice address
801 STARLING AVE, MARTINSVILLE, VA 24112-4225
(276) 632-2231
(276) 632-1645
Mailing address
655 BRAWLEY SCHOOL RD, SUITE 200, MOORESVILLE, NC 28117-9125
(704) 664-2876
(704) 664-1306
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HSP16222
VA
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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