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NPI Code Detail

MEDICARE: SOUTHERN HOSPITALITY HEALTHCARE, INC

MEDICARE: SOUTHERN HOSPITALITY HEALTHCARE, 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
1251J00000XNursing Care Agency

General Provider Information

NPI Number : 1366571465
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHERN HOSPITALITY HEALTHCARE, INC
Provider Business Mailing Address
First Line : 111 SE PARKWAY CT
Second Line : SUITE 122
City : FRANKLIN
State : TN
Zip : 37064-3968
Country : US
Telephone Number : 615-599-8799
Fax Number : 615-791-0907
Provider Business Practice Location Address
First Line : 111 SE PARKWAY CT
Second Line : SUITE 122
City : FRANKLIN
State : TN
Zip : 37064-3968
Country : US
Telephone Number : 615-599-8799
Fax Number : 615-791-0907
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. PATRICIA LEE RINGROSE
Credential :
Telephone Number : 615-599-8799
Provider Enumeration Date : 03/05/2007
Last Update Date : 08/22/2020

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