institution
Southern Hospitality Home Support Care
Home Health Agency in Fayetteville, North Carolina
NPI 1720153950

Southern Hospitality Home Support Care is a Home Health Agency based in Fayetteville, NC. Southern Hospitality Home Support Care practices in Fayetteville, NC. The NPI Number for Southern Hospitality Home Support Care is 1720153950 and holds a License No. HC1088 (North Carolina).

The current practice location address for Southern Hospitality Home Support Care is 2310 Southern Ave, Fayetteville, NC and can be reached out via phone at 910-485-8003 and via fax at 910-485-8140.

Location: 2310 Southern Ave, Fayetteville, NC, 28306-0526
institution
Provider Profile Details
NPI Number
1720153950
Provider Name
Southern Hospitality Home Support Care
Credential
Provider Entity Type
Organization
Address
2310 Southern Ave, Fayetteville, NC, 28306-0526
Phone Number
910-485-8003
Fax Number
910-485-8140
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6600239 05 NC
3408513 05 NC
institution
Provider Business Practice Location Address Details
Address
2310 Southern Ave
City
State
Zip
28306-2260
Phone Number
910-485-8003
Fax Number
910-485-8140
person
Provider Business Mailing Address Details
Address
2310 Southern Ave
City
State
Zip
28306-2260
Phone Number
910-485-8003
Fax Number
910-485-8140
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
License No.
HC1088 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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