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Organization

SOUTHERNCARE, INC.

Active
Other names
SouthernCare Meridian
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA KLEBERG (VP OF LEGAL AFFAIRS)
(704) 664-2876
Entity
Organization

Contact information

Practice address
1406 10TH AVE, MERIDIAN, MS 39301-4413
(601) 693-0412
(601) 693-0811
Mailing address
655 BRAWLEY SCHOOL RD, SUITE 200, MOORESVILLE, NC 28117-9125
(704) 664-2876
(704) 664-1306

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
043
MS
251G00000X
Community Based Hospice Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01635559
MS
Enumeration date
06/04/2006
Last updated
05/16/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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