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NPI Code Detail

MEDICARE: SOUTHERN CARE INC

MEDICARE: SOUTHERN CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency008340TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144260936
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN CARE INC
Provider Business Mailing Address
First Line : 2204 LAKESHORE DR
Second Line : SUITE 475
City : BIRMINGHAM
State : AL
Zip : 35209-6705
Country : US
Telephone Number : 205-868-4400
Fax Number : 205-868-4401
Provider Business Practice Location Address
First Line : 13729 HWY 183N
Second Line : STE 1075
City : AUSTIN
State : TX
Zip : 78750-2270
Country : US
Telephone Number : 512-336-0170
Fax Number : 512-336-0190
Authorized Official
Title or Position : CEO PRESIDENT
Name : MR. MICHAEL J PARSONS
Credential :
Telephone Number : 205-868-4400
Provider Enumeration Date : 06/08/2006
Last Update Date : 04/29/2009

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Directions to “SOUTHERN CARE INC ” Practice Location

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