Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGARET PEMBERTON (VP AND MANAGER)
(502) 394-2100
Entity
Organization
Contact information
Practice address
1109 48TH AVE N, SUITE 111, MYRTLE BEACH, SC 29577-5417
(800) 866-0860
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0954
—
SC
Enumeration date
12/11/2009
Last updated
03/19/2026
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