| Organization Name: | SOUTHERNCARE INC |
| NPI Number: | 1578500823 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J PARSONS (CEO PRESIDENT) |
| Mailing Address: | 777 E Battlefield St Ste 104a Springfield |
| State: | MO US |
| Postal Code: | 658074807 |
| Phone Number: | 4178866995 |
| Fax Number: | 4178867129 |
| NPI Enumeration Date: | 06/02/2006 |
| NPI Last Update Date: | 04/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 1202HO |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |