Southern Home Care Services, Inc.
NPI #1538671896 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1538671896
- Entity Type
- Organization
- Organization Name
- Southern Home Care Services, Inc.
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 19, 2021
Practice Location
- Address
- 5512 BIG TYLER RD
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1304
- Phone
- (304) 766-9830
Authorized Official
- Name
- TIMOTHY WHOBREY
- Title
- PROVIDER ENROLLMENT
- Phone
- (502) 630-7249
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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