Organization
SOUTHERN HOME CARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY A PANK (PARALEGAL)
(502) 420-2666
Entity
Organization
Contact information
Practice address
320 HOSPITAL DR, THOMSON, GA 30824-2121
(706) 595-4170
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000552538AN
—
GA
Enumeration date
02/13/2008
Last updated
07/08/2016
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