Southerncare, Inc.
NPI #1154020659 in Fairview Heights, Illinois
Provider Information
- NPI Number
- 1154020659
- Entity Type
- Organization
- Organization Name
- Southerncare, Inc.
- Primary Specialty
- Hospice Care, Community Based
- Enumeration Date
- Feb 23, 2023
- Last Updated
- Feb 23, 2023
Practice Location
- Address
- 333 SALEM PL STE 165
- City
- Fairview Heights
- State
- Illinois
- ZIP Code
- 62208-1341
- Phone
- (618) 632-0304
Authorized Official
- Name
- JANET L. COMBS
- Title
- VP OF LICENSURE
- Phone
- (704) 664-2876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Hospice Care, Community Based |
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