| Organization Name: | SOUTHERNCARE INC |
| NPI Number: | 1194763573 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J PARDY (CEO PRESIDENT) |
| Mailing Address: | 2780 Commerce Dr Suite 100 Middletown |
| State: | PA US |
| Postal Code: | 170573245 |
| Phone Number: | 7179392570 |
| Fax Number: | 7179392573 |
| NPI Enumeration Date: | 06/04/2006 |
| NPI Last Update Date: | 12/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 16471601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |