Organization
SOUTHCARE INC- A PRIVATE HOMECARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE ECHEBELEM (OPERATING OFFICER)
(404) 844-9975
Entity
Organization
Contact information
Practice address
631 BLAKELY ST, CUTHBERT, GA 39840-5326
(404) 844-9975
(888) 687-4829
Mailing address
352 HAMILTON AVE # 448, CUTHBERT, GA 39840-5406
(404) 552-4361
(229) 888-3558
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
120-R-0643
GA
332B00000X
Durable Medical Equipment & Medical Supplies
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Other
Enumeration date
02/21/2010
Last updated
03/10/2023
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