Organization
SOUTHERN CARE STAFFING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C LUSK (OWNER)
(423) 595-6626
Entity
Organization
Contact information
Practice address
1450 N MACK SMITH RD, SUITE A, EAST RIDGE, TN 37412-3948
(423) 752-5002
Mailing address
1450 N MACK SMITH RD, SUITE A, EAST RIDGE, TN 37412-3948
(423) 752-5002
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
385H00000X
TN
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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