Organization
SUPERIOR HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHEKEBA GAITHER (OWNER)
(336) 775-6005
Entity
Organization
Contact information
Practice address
2985 WAUGHTOWN ST, WINSTON SALEM, NC 27107-1620
(336) 775-6005
Mailing address
267 OLDE VINYARD CT, WINSTON SALEM, NC 27104-9998
(336) 775-6005
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
HC4651
NC
253Z00000X
In Home Supportive Care Agency
HC4651
NC
Other
Enumeration date
05/07/2015
Last updated
05/11/2015
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