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Southerncare Inc
Community Based Hospice Care Agency in Moraine, Ohio
NPI 1720027519

Southerncare Inc is a Community Based Hospice Care Agency based in Birmingham, OH. Southerncare Inc practices in Moraine, OH. The NPI Number for Southerncare Inc is 1720027519 and holds a License No. 0141HSP (Ohio).

The current practice location address for Southerncare Inc is 3077 Kettering Blvd, Moraine, OH and can be reached out via phone at 937-293-3603 and via fax at 937-293-3646.

Location: 3077 Kettering Blvd, Moraine, OH, 35209-6705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720027519
Provider Name
Southerncare Inc
Credential
Provider Entity Type
Organization
Address
3077 Kettering Blvd, Moraine, OH, 35209-6705
Phone Number
937-293-3603
Fax Number
937-293-3646
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2516585 05 OH
institution
Provider Business Practice Location Address Details
Address
3077 Kettering Blvd
City
Moraine
State
Ohio
Zip
45439-1949
Phone Number
937-293-3603
Fax Number
937-293-3646
person
Provider Business Mailing Address Details
Address
3077 Kettering Blvd
City
Moraine
State
Ohio
Zip
45439-1949
Phone Number
937-293-3603
Fax Number
937-293-3646
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
251G00000X
License No.
0141HSP (Ohio)
Definition
Definition to come...
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