Organization
SUPERIOR HOME CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEKEBA GAITHER (AGENCY DIRECTOR)
(336) 775-6005
Entity
Organization
Contact information
Practice address
2985 WAUGHTOWN ST, WINSTON SALEM, NC 27107-1620
(404) 547-4669
Mailing address
2985 WAUGHTOWN ST, WINSTON SALEM, NC 27107-1620
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
140082
NC
251J00000X
Nursing Care Agency
HC4651
NC
251S00000X
Community/Behavioral Health Agency
140082
NC
Other
Enumeration date
05/06/2014
Last updated
05/06/2015
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