Organization
SOUTHERNCARE INC
Active
Other names
SouthernCare Dayton
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J PARSONS (CEO PRESIDENT)
(205) 868-4400
Entity
Organization
Contact information
Practice address
3077 KETTERING BLVD, STE 100, MORAINE, OH 45439-1949
(937) 293-3603
(937) 293-3646
Mailing address
2204 LAKESHORE DR, SUITE 475, BIRMINGHAM, AL 35209-6705
(205) 868-4400
(205) 868-4401
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0141HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2516585
—
OH
Enumeration date
06/06/2006
Last updated
05/27/2009
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