Super Nurses, Inc.
Organization Active NPI In Home Supportive Care Agency · Grantville, GA
NPI 1376816033 · NPPES record last updated Jul 3, 2012
Key facts
- NPI
- 1376816033
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 099-R-0571 (GA)
- Legal business name
- SUPER NURSES, INC.
- Practice address
- 241 Charlie Fuller Rd Ste B
Grantville, GA 30220 - Phone
- (770) 927-0309
- Fax
- (770) 927-3119
- NPI assigned
- Feb 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Mary Jackson
- Title
- Ceo/Administrator
- Phone
- (770) 927-0309
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 099-R-0571 | GA | Yes |
Addresses
Primary practice location
241 Charlie Fuller Rd Ste B
Grantville, GA 30220
Mailing address
PO Box 206
Luthersville, GA 30251-0206
Phone (770) 927-0309
Other providers in Grantville, GA
- Senoia Drug Company Inc.
- Speech Buddy
- James Alastair Stunden
- Super Nurses Home Care Inc
- Super Nurses Hospice Inc
- Therapy Pond, LLC
- Brandy Lynn Williams
All providers in Grantville, GA · In Home Supportive Care Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.