Southern Care Staffing LLC

NPI #1962734277 in East Ridge, Tennessee

Provider Information

NPI Number: 1962734277
Entity Type: Organization
Organization Name: Southern Care Staffing LLC
Primary Specialty: Respite Care
Enumeration Date: Feb 11, 2010
Last Updated: Feb 11, 2010

Practice Location

Address: 1450 N MACK SMITH RD
Address 2: SUITE A
City: East Ridge
State: Tennessee
ZIP Code: 37412-3948
Phone: (423) 752-5002

Authorized Official

Name: MR. RICHARD C LUSK
Title: OWNER
Phone: (423) 595-6626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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