Organization Name: | SOUTHERNCARE, INC. |
NPI Number: | 1477592269 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS J ABELL (CHIEF COMPLIANCE OFFICER) |
Mailing Address: | 4769 Whitesburg Suite 202 Huntsville |
State: | AL US |
Postal Code: | 358021684 |
Phone Number: | 2568812782 |
Fax Number: | 2568818457 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 11698 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |