Organization
SBSW MATERNAL SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARMINA LEWIS RN (OWNER)
(229) 444-2583
Entity
Organization
Contact information
Practice address
24 BLACKGUM TRCE, DALLAS, GA 30132-5472
(229) 444-2583
Mailing address
24 BLACKGUM TRCE, DALLAS, GA 30132-5472
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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