Organization
SOUTHERN HOME CARE
Active
Other names
Progressive Personal Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
1921 OXFORD ST, MISSOULA, MT 59801-6640
(907) 770-9005
(907) 770-7980
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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