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NPI Code Detail

MEDICARE: SUPERIOR HEALTHCARE SERVICES

MEDICARE: SUPERIOR HEALTHCARE SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

General Provider Information

NPI Number : 1578776696
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPERIOR HEALTHCARE SERVICES
Provider Business Mailing Address
First Line : P.O BOX 690546
Second Line :
City : CHARLOTTE
State : NC
Zip : 28227
Country : US
Telephone Number : 704-563-6262
Fax Number : 704-563-6210
Provider Business Practice Location Address
First Line : 6636 E WT HARRIS BLVD
Second Line : SUITE D - E
City : CHARLOTTE
State : NC
Zip : 28215-5133
Country : US
Telephone Number : 704-563-6262
Fax Number : 704-563-6210
Authorized Official
Title or Position : CEO
Name : MR. JASON CHRISTOPHER JONES
Credential :
Telephone Number : 704-361-2756
Provider Enumeration Date : 05/07/2007
Last Update Date : 01/26/2010

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Directions to “SUPERIOR HEALTHCARE SERVICES ” Practice Location

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