Organization
SOUTHERNCARE, INC.
Active
Other names
SouthernCare Denton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R PRIEST (CHIEF COMPLIANCE OFFICER)
(469) 374-5914
Entity
Organization
Contact information
Practice address
5800 N I35, STE 200 B, DENTON, TX 76207-1438
(940) 243-0901
(940) 243-0904
Mailing address
6363 N STATE HIGHWAY 161, SUITE 115, IRVING, TX 75038-2269
(469) 374-5900
(469) 374-5901
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
015010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013519
—
TX
Enumeration date
06/07/2006
Last updated
07/29/2013
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