Organization Name: | SOUTHERNCARE, INC |
NPI Number: | 1568401511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J. PARDY (PRESIDENT) |
Mailing Address: | 6711 S Yale Ave Tulsa |
State: | OK US |
Postal Code: | 741363313 |
Phone Number: | 9184998755 |
Fax Number: | 9184998725 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |