Organization
SOUTHERN HOSPITALITY HOME SUPPORT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIE P. CROWE RN (DIRECTOR)
(910) 485-8003
Entity
Organization
Contact information
Practice address
2310 SOUTHERN AVE, FAYETTEVILLE, NC 28306-2260
(910) 485-8003
(910) 485-8140
Mailing address
PO BOX 64526, FAYETTEVILLE, NC 28306-0526
(910) 485-8003
(910) 485-8140
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408513
—
NC
05
—
6600239
—
NC
Enumeration date
11/22/2006
Last updated
08/22/2020
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