Organization
SOUTHERN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTEN BOUGARD (OWNER)
(217) 799-7353
Entity
Organization
Contact information
Practice address
6710 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-4405
(217) 799-7353
Mailing address
6710 N SCOTTSDALE RD, SCOTTSDALE, AZ 85253-4405
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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