| Organization Name: | SOUTHERN CARE SERVICES LLC |
| NPI Number: | 1104078815 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SERNEKA A STEVENSON (ADMINISTRATOR) |
| Mailing Address: | 905 Monroe St Gretna |
| State: | LA US |
| Postal Code: | 700532215 |
| Phone Number: | 5043620376 |
| Fax Number: | 5043650878 |
| NPI Enumeration Date: | 10/14/2008 |
| NPI Last Update Date: | 10/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |