Organization Name: | SOUTHERN HEALTH CARE CORPORATION |
NPI Number: | 1124259965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSHUA S AJAYI (PRESIDENT) |
Mailing Address: | 633 Ne 167th St Suite 602 North Miami Beach |
State: | FL US |
Postal Code: | 331622442 |
Phone Number: | 3052490660 |
Fax Number: | 3052490650 |
NPI Enumeration Date: | 07/28/2009 |
NPI Last Update Date: | 07/28/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 253Z00000X |
License Number: | 228561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | In Home Supportive Care |
Taxonomy Specialization: | |
Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |