| NPI | 1427171107 |
|---|---|
| Doing Business As | SOUTHERN HOME CARE |
| Entity Type | Organization |
| Authorized Contact | JEFF D GANT President 662-647-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 068039932) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-09-04 |