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Organization

SOUTH COUNTY HOME HEALTH PROVIDERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TINA MARIE GRIFFITH (PRESIDENT/ C.E.O.)
(269) 532-3127
Entity
Organization

Contact information

Practice address
115 N 3RD ST, VICKSBURG, MI 49097-1017
(269) 532-3127
(269) 649-4796
Mailing address
115 N 3RD ST, VICKSBURG, MI 49097-1017
(269) 532-3127
(269) 649-4796

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AF390303489
MI
320700000X
Physical Disabilities Residential Treatment Facility
Primary
AF390303489
MI

Other

Enumeration date
10/25/2010
Last updated
07/01/2011
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