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Organization

SUPERIOR HOME MEDICAL, INC

Active
Parent organization
SUPERIOR HOME MEDICAL, INC.
Other names
Superior Home Medical, Inc, Boutique On Main
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUPERIOR HOME MEDICAL, INC.
Authorized official
MRS. COURTNEY STEVENS GARRISON C.PED, CFM (PRESIDENT)
(704) 225-0285
Entity
Organization

Contact information

Practice address
108 S MAIN ST, MONROE, NC 28112-5541
(704) 225-0285
(704) 225-0287
Mailing address
108 S MAIN ST, MONROE, NC 28112-5541
(704) 225-0285
(704) 225-0287

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM02947
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7704221
NC
Enumeration date
06/14/2017
Last updated
04/01/2026
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