Organization
SOUTHERN HOSPITALITY CARE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DARRYL BEAL JR. (OWNER)
(404) 884-8432
Entity
Organization
Contact information
Practice address
817 ALLGOOD RD, STONE MOUNTAIN, GA 30083-4803
(678) 314-1682
Mailing address
817 ALLGOOD RD, STONE MOUNTAIN, GA 30083-4803
(678) 314-1682
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/15/2021
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