MEDICARE: S & L HOME CARE SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1396034336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & L HOME CARE SERVICES, INC

Provider Business Mailing Address
First Line	:	5501 ADAMS FARM LN UNIT B
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-7098
Country	:	US
Telephone Number	:	336-294-1506
Fax Number	:	336-294-1507

Provider Business Practice Location Address
First Line	:	5501 ADAMS FARM LN UNIT B
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-7098
Country	:	US
Telephone Number	:	336-294-1506
Fax Number	:	336-294-1507

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. GLORIA LONG SEXTON
Credential	:	MS
Telephone Number	:	336-294-1506

Provider Enumeration Date	:	03/30/2011
Last Update Date	:	03/30/2011

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