NPI 1033516703

Southern Living Services LLC

Organisation Case Manager/Care Coordinator Disputanta, VA

Practice location

Address: 6688 Tatum Rd, Disputanta, VA 23842-6902
Phone: (804) 550-8674

Authorised official

Name: Jennifer Jayne White
Title: Member
Phone: (804) 550-8674

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 2182 (VA)

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Registry record

NPI: 1033516703
Entity type: Organization
NPI issued: 25 Nov 2014
Record last updated: 25 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.