# SUPERIOR HOME HEALTH & WELLNESS

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

## Provider details

- **NPI number:** 1962778373
- **Authorized official:** LAKEENA GHOLSTON (CEO)
- **Authorized official phone:** (901) 672-3393

## Contact information

- **Practice address:** 1331 UNION AVE, SUITE 802, MEMPHIS, TN 38104-3513
- **Practice address phone:** (901) 672-3393
- **Mailing address:** 5076 GOLD STREAM LN, MEMPHIS, TN 38125-3475
- **Mailing address phone:** (901) 672-3393

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2012
- **Last updated:** 03/29/2012