Organization
SOUTHERN CARE HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATRESHIA MONEE HARRIS (OWNER)
(318) 289-7124
Entity
Organization
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(469) 559-9325
(972) 349-8962
Mailing address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(318) 289-7124
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019236
—
TX
Enumeration date
02/22/2023
Last updated
08/27/2023
Update your record
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