Organization
SOUTHERNCARE INC
Active
Other names
SouthernCare Petersburg
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J PARSONS (CEO PRESIDENT)
(205) 868-4400
Entity
Organization
Contact information
Practice address
3321 SOUTH CRATER ROAD, PETERSBURG, VA 23805
(804) 732-5220
(804) 732-5227
Mailing address
2204 LAKESHORE DR, SUITE 475, BIRMINGHAM, AL 35209-6705
(205) 868-4400
(205) 868-4401
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010298954
—
VA
01
—
HSP-06127
STATE LICENSE NUMBER
VA
Enumeration date
06/03/2006
Last updated
04/22/2009
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