Healthcare Provider Details

I. General information

NPI: 1841730181
Provider Name (Legal Business Name): SOUTHERN CARE CONNECTION, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2017
Last Update Date: 06/24/2020
Certification Date: 06/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 W AIRLINE HWY, SUITE J
LAPLACE LA
70068
US

IV. Provider business mailing address

4512 BURKE DR.
METAIRIE LA
70003
US

V. Phone/Fax

Practice location:
  • Phone: 985-652-1847
  • Fax: 985-652-1897
Mailing address:
  • Phone: 985-652-1847
  • Fax: 985-652-1897

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL MAYEAUX
Title or Position: OWNER/MANAGER
Credential:
Phone: 985-652-1847