| Organization Name: | SOUTHERNCARE, INC. |
| NPI Number: | 1952348435 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
| Mailing Address: | 143 South Highway 319 Suite 1 Moultrie |
| State: | GA US |
| Postal Code: | 317684733 |
| Phone Number: | 2292170523 |
| Fax Number: | 2292174974 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 035204H |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |