SOUTHERN HOME HEALTHCARE INC NPI 1386124022

NPI Information

SOUTHERN HOME HEALTHCARE INC is an oxygen equipment and supplies durable medical equipment medical supplies in Mountain Home, AR. SOUTHERN HOME HEALTHCARE INC NPI is 1386124022. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Home Healthcare Inc.

The provider's business location address is:

1058 HIGHLAND CIR STE 12
MOUNTAIN HOME, AR
ZIP 72653-275
Phone: (870) 424-4454
Fax: (870) 424-4414

The provider's authorized official is Steve Tricarico .
The authorized official title is President and has the following contact phone number (870) 932-0990.

The CLIA number assigned to this NPI record is 04D2159501 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2018 and was last updated on 9/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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