Provider Demographics
NPI:1346696523
Name:SUPERIOR NURSING KARE AND STAFFING LLC
Entity Type:Organization
Organization Name:SUPERIOR NURSING KARE AND STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:NATAHA
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-334-8182
Mailing Address - Street 1:PO BOX 1655
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30459-1655
Mailing Address - Country:US
Mailing Address - Phone:912-334-8182
Mailing Address - Fax:912-681-2830
Practice Address - Street 1:127 E MAIN ST
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-4876
Practice Address - Country:US
Practice Address - Phone:912-334-8182
Practice Address - Fax:912-681-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health