Organization Name: | SUPERIOR ADULT CARE SERVICES, INC. |
NPI Number: | 1174613988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NUSI AMUSAN (ADMINISTRATOR) |
Mailing Address: | 500 E High St Terrell |
State: | TX US |
Postal Code: | 751602836 |
Phone Number: | 9725246913 |
Fax Number: | 9725511268 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 05/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | 116417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |