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Organization

DIRECT SOUTHERN CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS CONSUELA Y TRAVIS CNA (OWNER)
(404) 368-4140
Entity
Organization

Contact information

Practice address
1925 MONROE DR NE APT 1477, ATLANTA, GA 30324-7837
(404) 368-4140
Mailing address
1925 MONROE DR NE APT 1477, ATLANTA, GA 30324-7837
(404) 368-4140

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
01/16/2026
Last updated
01/16/2026
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