SOUTHERLAND CLARK ENTERPRISES LLC; NPI #1538539093

Contact Information

SOUTHERLAND CLARK ENTERPRISES LLC

315 N. LOUISVILLE ST.
HARLEM, GA 30814

Phone: 706-955-5558
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X

Indicates primary specialty

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NPI Profile & details for SOUTHERLAND CLARK ENTERPRISES LLC

NPI #	`1538539093`
LBN Legal business name	SOUTHERLAND CLARK ENTERPRISES LLC
Authorized official	GLORIOUS JONES - (DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/28/2015
Last updated	10/27/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHERLAND CLARK ENTERPRISES LLC

Contact Information

Specialty

Respite Care, Intellectual and/or Developmental Disabilities

NPI Profile & details for SOUTHERLAND CLARK ENTERPRISES LLC

Reviews for SOUTHERLAND CLARK ENTERPRISES LLC