SOUTHERNCARE INC. NPI 1912945395

NPI Information

SOUTHERNCARE, INC. is a hospice care community based in Lafayette, LA. SOUTHERNCARE, INC. NPI is 1912945395. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Lafayette.

The provider's business location address is:

620 GUILBEAU RD
SUITE A
LAFAYETTE, LA
ZIP 70506-709
Phone: (337) 291-1818
Fax: (337) 291-1813

The provider's authorized official is Jessica Kleberg .
The authorized official title is Vp Of Legal Affairs and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 19D0460887 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2006 and was last updated on 5/16/2016.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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