Southern Home Assisted Living,inc
NPI #1174691646 in Graceville, Florida
Provider Information
- NPI Number
- 1174691646
- Entity Type
- Organization
- Organization Name
- Southern Home Assisted Living,inc
- Primary Specialty
- Adult Companion
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3854 HIGHWAY 2
- City
- Graceville
- State
- Florida
- ZIP Code
- 32440-7406
- Phone
- (850) 263-7999
Authorized Official
- Name
- MRS. KAREN CECILE STOE, RN
- Title
- PRESIDENT
- Phone
- (850) 263-7999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Adult Companion |
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