Organization Name: | SUPERIOR HOSPICE LLC |
NPI Number: | 1033407721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BELINDA JUAREZ (OWNER) |
Mailing Address: | 8000 Vantage Dr San Antonio |
State: | TX US |
Postal Code: | 782304781 |
Phone Number: | 2105587710 |
Fax Number: | 2105587724 |
NPI Enumeration Date: | 07/14/2011 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |