Organization
SURESTICK LAB & HYDRATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA HARRIS RN (RN/CEO)
(708) 692-4646
Entity
Organization
Contact information
Practice address
101 BECKETT LN STE 505, FAYETTEVILLE, GA 30214-7160
(470) 729-0166
Mailing address
10809 LEES CT, JONESBORO, GA 30238-7870
(708) 692-4646
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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