Provider Demographics
NPI:1386353977
Name:SURE WAY HOME HEALTH CARE
Entity type:Organization
Organization Name:SURE WAY HOME HEALTH CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:BREYONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-445-1563
Mailing Address - Street 1:318 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-3902
Mailing Address - Country:US
Mailing Address - Phone:312-445-1563
Mailing Address - Fax:
Practice Address - Street 1:318 N 1ST ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-3902
Practice Address - Country:US
Practice Address - Phone:312-445-1563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health