| NPI | 1144261850 |
|---|---|
| Doing Business As | SOUTHERNCARE BROOKHAVEN |
| Entity Type | Organization |
| Authorized Contact | JESSICA KLEBERG VP Of Legal Affairs 704-664-2876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: MS 204) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-05-16 |