Organization
SOUTHERN CARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASANTA WELLS (OWNER)
(615) 886-8616
Entity
Organization
Contact information
Practice address
1050 GLENBROOK WAY # 480413, HENDERSONVILLE, TN 37075-1241
(615) 886-8616
Mailing address
1050 GLENBROOK WAY # 480413, HENDERSONVILLE, TN 37075-1241
(615) 886-8616
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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