Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
915 INTERSTATE RIDGE DR, SUITE A, GAINESVILLE, GA 30501-7076
(800) 866-0860
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2387
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000552538BB
—
GA
Enumeration date
06/25/2009
Last updated
08/05/2016
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