Provider Demographics
NPI:1952810434
Name:SUPERIOR NURSING SOLUTIONS
Entity Type:Organization
Organization Name:SUPERIOR NURSING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-831-9513
Mailing Address - Street 1:1315 W MARTINTOWN RD STE A-5
Mailing Address - Street 2:
Mailing Address - City:NORTH AUGUSTA
Mailing Address - State:SC
Mailing Address - Zip Code:29860-7631
Mailing Address - Country:US
Mailing Address - Phone:803-279-2770
Mailing Address - Fax:803-279-2770
Practice Address - Street 1:1315 W MARTINTOWN RD STE A-5
Practice Address - Street 2:
Practice Address - City:NORTH AUGUSTA
Practice Address - State:SC
Practice Address - Zip Code:29860-7631
Practice Address - Country:US
Practice Address - Phone:803-279-2770
Practice Address - Fax:803-279-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-27
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC163WH0200X
251E00000X
SC215776163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty