Organization
SOUTHERN NURSES INC.
Active
Other names
Lakeside Lodge Assisted Living, Southern Nurses Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKY M. ST. JOHN APN-C (CEO)
(409) 460-0603
Entity
Organization
Contact information
Practice address
254 PARKSIDE LOOP, BROOKELAND, TX 75931-6247
(409) 698-3800
Mailing address
13054 US HIGHWAY 96 S, KIRBYVILLE, TX 75956-4549
(409) 460-0603
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/02/2019
Last updated
03/02/2019
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