Southern Home Health at Kwcc INC

NPI #1245379882 in Key West, Florida

Provider Information

NPI Number: 1245379882
Entity Type: Organization
Organization Name: Southern Home Health at Kwcc INC
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Feb 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 5860 COLLEGE RD
City: Key West
State: Florida
ZIP Code: 33040-4314
Phone: (305) 296-2450

Authorized Official

Name: MS. ROBERTA A CARON
Title: CORPORATE BILLING DIRECTOR
Phone: (561) 333-1372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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