# SUPER NURSES HOME CARE INC

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

## Provider details

- **NPI number:** 1952698391
- **Authorized official:** BENJAMIN MARK ANDERSON (CEO)
- **Authorized official phone:** (678) 929-3137

## Contact information

- **Practice address:** 202 CHARLIE FULLER RD, GRANTVILLE, GA 30220-2801
- **Practice address phone:** (678) 929-3137
- **Mailing address:** 202 CHARLIE FULLER RD, GRANTVILLE, GA 30220
- **Mailing address phone:** (678) 929-3137

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011