MEDICARE: S & H NURSING

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407097421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	S & H NURSING

Provider Business Mailing Address
First Line	:	141 VALLEY RD
Second Line	:
City	:	SPRING LAKE
State	:	NC
Zip	:	28390-8830
Country	:	US
Telephone Number	:	910-824-4424
Fax Number	:	910-247-0003

Provider Business Practice Location Address
First Line	:	141 VALLEY RD
Second Line	:
City	:	SPRING LAKE
State	:	NC
Zip	:	28390-8830
Country	:	US
Telephone Number	:	910-824-4424
Fax Number	:	910-247-0003

Authorized Official
Title or Position	:	ADMINISTRATOR/OWNER
Name	:	MISS SHERRY LYNN SUDDUTH
Credential	:	REGISTERED NURSE
Telephone Number	:	910-824-4424

Provider Enumeration Date	:	03/20/2009
Last Update Date	:	08/13/2009

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