# SUPER NURSES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376816033
- **Authorized official:** MARY JACKSON (CEO/ADMINISTRATOR)
- **Authorized official phone:** (770) 927-0309

## Contact information

- **Practice address:** 241 CHARLIE FULLER RD STE B, GRANTVILLE, GA 30220
- **Practice address phone:** (770) 927-0309
- **Practice address fax:** (770) 927-3119
- **Mailing address:** PO BOX 206, LUTHERSVILLE, GA 30251-0206
- **Mailing address phone:** (770) 927-0309
- **Mailing address fax:** (770) 927-3119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 099-R-0571 | GA | Yes |

## Other

- **Enumeration date:** 02/10/2012
- **Last updated:** 07/03/2012