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
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