Organization
SOUTHERN TRANSITIONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GERMANY FNP (CEO)
(601) 527-4659
Entity
Organization
Contact information
Practice address
593 ARBOR DR, MADISON, MS 39110-9156
(601) 527-4659
Mailing address
593 ARBOR DR, MADISON, MS 39110-9156
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
R869539
MS
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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