Organization Name: | SOUTHERNCARE INC |
NPI Number: | 1508804279 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J PARSONS (CEO PRESIDENT) |
Mailing Address: | 3321 South Crater Road Petersburg |
State: | VA US |
Postal Code: | 23805 |
Phone Number: | 8047325220 |
Fax Number: | 8047325227 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 04/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |