Organization
RURAL HEALTH INITIATIVE, LLC
Active
Other names
Southern Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT P MASON (EXECUTIVE DIRECTOR)
(270) 793-9170
Entity
Organization
Contact information
Practice address
632 ADAMS ST, SUITE 100, BOWLING GREEN, KY 42101-2174
(270) 793-9170
Mailing address
632 ADAMS ST, SUITE 100, BOWLING GREEN, KY 42101-2174
(270) 793-9170
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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