Organization
SOUTHERN CAREGIVERS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE WATSON (OWNER)
(870) 904-4277
Entity
Organization
Contact information
Practice address
106 S WASHINGTON, MAGNOLIA, AR 71753-3523
(501) 463-9990
Mailing address
PO BOX 399, MAGNOLIA, AR 71754-0399
(870) 904-4277
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231548732
—
AR
05
—
233111797
—
AR
05
—
233113757
—
AR
Enumeration date
09/20/2019
Last updated
11/01/2021
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