Healthcare Provider Details

I. General information

NPI: 1255796777
Provider Name (Legal Business Name): SOUTHERN HELPERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7370 HODGSON MEMORIAL DR D2
SAVANNAH GA
31406-2536
US

IV. Provider business mailing address

7370 HODGSON MEMORIAL DR D2
SAVANNAH GA
31406-2536
US

V. Phone/Fax

Practice location:
  • Phone: 912-239-4816
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY SMITH
Title or Position: OWNER
Credential:
Phone: 912-486-0794