| NPI | 1972541597 |
|---|---|
| Doing Business As | SOUTHERNCARE KOKOMO |
| 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: IN 13-003913-1) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IN 120039131) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-05-16 |