Organization Name: | SOUTHERN HOME CARE SERVICES, INC. |
NPI Number: | 1174854590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEENA G. OMBRES (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
Mailing Address: | 401 E Northern Lights Blvd Suite 207 Anchorage |
State: | AK US |
Postal Code: | 995032814 |
Phone Number: | 9077709005 |
Fax Number: | 9077707980 |
NPI Enumeration Date: | 01/25/2010 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |