| NPI | 1760201867 |
|---|---|
| Doing Business As | SUCCOR HOME CARE |
| Entity Type | Organization |
| Authorized Contact | TERRANCE TILSON Director Of Operations 531-375-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| 253Z00000X In Home Supportive Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2025-01-15 |