| Organization Name: | SOUTHERNCARE, INC. |
| NPI Number: | 1316987829 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM R PRIEST (CHIEF COMPLIANCE OFFICER) |
| Mailing Address: | 5800 N I35 Ste 200 B Denton |
| State: | TX US |
| Postal Code: | 762071438 |
| Phone Number: | 9402430901 |
| Fax Number: | 9402430904 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 07/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 015010 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |