| Organization Name: | SOUTHERNCARE, INC |
| NPI Number: | 1689890642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J. PARDY (PRESIDENT) |
| Mailing Address: | 5005 Bowling St Sw Ste 3 Cedar Rapids |
| State: | IA US |
| Postal Code: | 524045070 |
| Phone Number: | 3193642204 |
| Fax Number: | 3193644933 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |