Organization
HOME SUITE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAQUALLA TYSHON MCINTYRE (OWNER)
(336) 918-5952
Entity
Organization
Contact information
Practice address
3425 TINLEY PARK DR, WINSTON SALEM, NC 27107-5605
(336) 918-5952
Mailing address
3425 TINLEY PARK DR, WINSTON SALEM, NC 27107-5605
(336) 918-5952
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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