Organization
SUPER NURSES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JACKSON (CEO/ADMINISTRATOR)
(770) 927-0309
Entity
Organization
Contact information
Practice address
241 CHARLIE FULLER RD STE B, GRANTVILLE, GA 30220
(770) 927-0309
(770) 927-3119
Mailing address
PO BOX 206, LUTHERSVILLE, GA 30251-0206
(770) 927-0309
(770) 927-3119
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
099-R-0571
GA
Other
Enumeration date
02/10/2012
Last updated
07/03/2012
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