| Southern Home Care Services, Inc. | |
|
1 Dunbar Plz Suite 100a Dunbar WV 25064-3038 | |
| (304) 766-9830 | |
| Not Available |
| Full Name | Southern Home Care Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Dunbar Plz, Dunbar, West Virginia |
| Authorized Official Name and Position | Deena G. Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
| Authorized Official Contact | 5023942100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Home Care Services, Inc. 805 N Whittington Pkwy Louisville KY 40222-7101 Ph: () - | Southern Home Care Services, Inc. 1 Dunbar Plz Suite 100a Dunbar WV 25064-3038 Ph: (304) 766-9830 |
| NPI Number | 1285034033 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285034033 | NPI | - | NPPES |
| 3810022572 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (West Virginia) | Primary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Secondary |
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