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1467927228
SOUTHERN MADE HOME CARE, LLC
WOODBRIDGE, VA
NPI
1467927228
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Entity Type
Organization
Authorized Contact
SHAMIRA GAINES
Administrative Director
703-490-2273
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2018-10-09
Last Update Date
2018-10-09
Business Address
SOUTHERN MADE HOME CARE, LLC
12531 CLIPPER DR STE 202
WOODBRIDGE, VA 22192-2355
Phone number: 703-490-2273
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Mailing Address
SOUTHERN MADE HOME CARE, LLC
13806 BREEZY RIDGE WAY UNIT 201
WOODBRIDGE, VA 22191-1487
Phone number: 571-477-4036
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