SOUTHERNCARE INC. NPI 1386682755

NPI Information

SOUTHERNCARE, INC. is a hospice care community based in Lafayette, IN. SOUTHERNCARE, INC. NPI is 1386682755. The provider is registered as an organization entity type.
The provider Is Doing Business As Southerncare Lafayette.

The provider's business location address is:

935 MEZZANINE DR
LAFAYETTE, IN
ZIP 47905-645
Phone: (765) 448-4732
Fax: (765) 448-4741

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 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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