Organization
SOUTHERN CARE INC
Active
Organization
SOUTHERN CARE INC
Active
Other names
Southern Care Jasper
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J PARDY (CEO PRESIDENT)
(205) 655-4809
Entity
Organization
Contact information
Practice address
4330 HWY 78 EAST, STE 210 & 211, JASPER, AL 35504
(205) 387-0249
(205) 387-0681
Mailing address
3536 VANN ROAD, BIRMINGHAM, AL 35235
(205) 655-4809
(205) 655-0587
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
11076
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1625E
—
AL
Enumeration date
06/03/2006
Last updated
08/22/2020
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