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Organization
SUPER NURSES HOME CARE INC
Active
Organization
SUPER NURSES HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN MARK ANDERSON (CEO)
(678) 929-3137
Entity
Organization
Contact information
Practice address
202 CHARLIE FULLER RD, GRANTVILLE, GA 30220-2801
(678) 929-3137
Mailing address
202 CHARLIE FULLER RD, GRANTVILLE, GA 30220
(678) 929-3137
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
099-R-0571
GA
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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