Healthcare Provider Details

I. General information

NPI: 1396784195
Provider Name (Legal Business Name): SOUTHERN CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 05/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2338 CENTER POINT RD
CENTER POINT AL
35215-3608
US

IV. Provider business mailing address

2204 LAKESHORE DR SUITE 475
BIRMINGHAM AL
35209-6705
US

V. Phone/Fax

Practice location:
  • Phone: 205-854-7252
  • Fax: 205-854-3305
Mailing address:
  • Phone: 205-868-4400
  • Fax: 205-868-4401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number11674
License Number StateAL

VIII. Authorized Official

Name: MR. MICHAEL J PARSONS
Title or Position: CEO PRESIDENT
Credential:
Phone: 205-868-4400