Organization
SOUTHERN HOME CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 394-2100
Entity
Organization
Contact information
Practice address
9312 OLIVE BLVD, SAINT LOUIS, MO 63132-3208
(309) 682-0079
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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